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Neural Resonance Therapy® workshop registration

Thank you for your interest in the Geometry of Healing and Neural Resonance Therapy®. 

Please fill out this form to get started on the hands-on journey! We will call you once we have received your registration to ensure this program will serve your talents best. We only accept a limited number of students per retreat to provide individual attention. These retreats for therapists are a dive into the depths of sensory awareness, and smaller groups are essential to the process. 

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Question 1 of 13

Due to Covid, dates for the upcoming workshops will be announced. Please fill out the form to let me know of your interest and I will contact you as soon as I know details!

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Neural Resonance Therapy® Dates TBA

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Name:

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Full address (including city, country, postal/zip codes)

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Telephone number (with country code)

AND mobile number if applicable (with country code)

Question 5 of 13

Best email address for contact

Question 6 of 13

Emergency contact name and number

Question 7 of 13

Have you fully completed Level One and Level Two of the online, Geometry of Healing program? 

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What are you hoping to gain at the workshop? 

Question 9 of 13

Have you had, or currently have, any medical diagnosis relating to emotional or mental strain - such as PTSD, anxiety, psychosis etc. and share any past or current treatment we should be aware of in supporting you. 

 

 

Question 10 of 13

Are you on any medications? 

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Are there any personal, health related issues you would like addressed in the workshop? 

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Is there anything specific you want to learn at the workshop you can let us know about in advance? 

Question 13 of 13

Thanks for all this great information! Any other comments or thoughts? 

Confirm and Submit