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This form can be submitted on line or printed and mailed with your cheque,
payable to "Healing Touch Calgary", to: Colleen Lefebvre, 30 Somerset Court SW, Calgary, AB T2Y 3H4 
Tel: 403-201-4711
Fees due in full with registration

All Level 4 & 5 courses please register with Healing Touch Canada 
Tel: (705) 652-0506 or
http://www.healingtouchcanada.net

I would like to register in the following course/courses: 

Please note that Mount Royal courses must be booked through the telephone no supplied on the course page

REGISTRATION PRICES

 

First Name:

Level 1 $350.00

Last Name:

Level 2 & 3 $325.00

Address 1:

Full-time student with ID $165.00 

Address 2:

Repeaters $165.00
City/Province:      

Postal Code:

     

Tel Home:

     

Tel Work:

     

Fax:

 

Email:

   

Date:

   

Date cheque mailed:

 

 


Can you bring a massage table?:     Yes 
   No 
Would you like to be on our mailing list?  Yes 
   No 


Are you a:  CHNA Member   
   HTI Member        CHTF Member       Student         Repeater  

Level of HT completed: Level 1   Level 2    Level 3    Level 4 

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