Registration Form

2010 Registration Form

Send check, MO, or Credit Card information, payable to Holistic Horizons, with completed registration form two weeks prior to class date:  306 County Route 23B, West Monroe, NY 13167

 

Call early as space is limited! 315-668-6093

 

Name____________________________

Address___________________________

Phone____________________________

Email____________________________

 

Fees:

Reiki Level I (Circle date):                       

June 5, July 10, Oct 2                                         $125

 

Reiki Level II (Circle date):

Mar 6, May 1, Aug 7, Nov 6                        $125

 

Reflexology Workshop

Apr 3, Oct 16                                   $75

 

Homeopathy Course

March 4-Apr 1, July 8-Aug 5                                $125

          

Intuitive Development

Jan 7-28, Nov 4-25                                    $125

 

Purposeful Breathing

Feb 4-25, Sept 9-30                                   $125

 

GemSpeak

May 6-27, Oct 7-28                                    $125

 

Goddesses Rejoice~Women’s Retreat

at FG Aug 13-15                                        $75

 

Healing Intensive at FG

Feb 19, Apr 16, Jun 11, Jul 23, Sept 24, Oct 8   $350

 

Total enclosed:                                         ________

Credit Card Payment:

____Mastercard  ____Visa  ____Discover

Card Number: _______________________________________

Expiration Date:______________

Cardholders Signature:_________________________________