REGISTRATION FORM
Integrated Energy Therapy Classes
Bonny Kraus, Certified IET Instructor

Please fill out the following information, sign and return as soon as possible with designated deposit.

Name ____________________________________________________________________

Name you wish to be called____________________________________________________

Mailing address_____________________________________________________________

Home phone_________________________Work phone_____________________________

Email______________________________ Website________________________________

Occupation_________________________________________________________________

Birth date (month, day, year)_____________Birth time and place________________________

In case of emergency notify _____________________________________________________

Phone_________________________________Relationship___________________________

Special dietary and health needs_________________________________________________

__________________________________________________________________________

Signed___________________________________ Date_____________________________

 

Basic Integrated Energy Therapy Class - $175.00 ($75.00 deposit required)

Intermediate Integrated Energy Therapy Class - $200.00 ($75.00 deposit required)

Advanced Integrated Energy Therapy Class - $225.00 ( $75.00 deposit required)

Register for all three classes and include a $200.00 deposit to receive a total discounted price of $560.00.

Repeat courses (any level) are $75.00.

**Please make checks payable to: Bonny Kraus and mail with registration form to:
Sandee Traeger, Wisdom & Wings Light Center, 20218 St. Anna Drive, Avon, MN 56310