Therapeutic Touch Support For
People with Cancer Class Registration

Name*

Address*

City, State, Zip*

Phone*

Email*

Occupation*

Because there is a need for excellence in the professional practice, research and teaching of Therapeutic Touch, please answer the following questions to the best of your ability.

How did you hear about this program?

What do you hope to learn by attending this workshop?

Payment method (select one)*:

I prefer to pay online.I prefer to mail you a check.

Refund policy: Class fee is non-refundable except in very limited circumstances.

I have read the refund policy.