Jan Kindred
Crystal Light Healing™ Certified Teacher

Workshop Registration Form

Submitting this form will hold a space for you in the selected class. I will email you within 48 hours to confirm availability and to notify you of payment options. To qualify for the "All 3 CLH" rate, simply register and pay for each level individually within a one year time frame and your third workshop will be discounted accordingly. Thank you!

Workshop:*

Name:*

Address:*

City:*

Province:*

Postal Code:*

Home Phone:*

Email Address:*

Name as you would like it to appear on the certificate:*

Please enter the phrase as it is shown in the box above.