Registration

Phone *

City: *

Full Name: *

Privacy Policy *

I have reviewed and accept the Privacy Policy

Street Address: *

I wish to to be added to Awakening Healing Axis, LLC mailing list. *

Yes

No

Cancellation Policy *

I accept this Cancellation Policy: In light of these changing times if you cancel for any reason your payment will be refunded less $75.00 for administration fee and facility expense. If AHA should cancel due to government mandates or other reasons, we will refund full amount paid.

I acknowledge *

To ensure the safety of everyone at this event, we will follow CDC, state, local, and event facility guidelines during our time together. Your responsibility to do a Covid self-assessment prior to coming to the event is important. AHA will have the right to determine mask and social distancing requirements and will make determination accordingly.

State *

Email: *

If different from above, how would you like your name printed on your "Certificate of Completion" for this workshop:

Are you able to bring a treatment table? *

YES

NO

Zip Code: *

Any Photos, Video or Audio recording that I may appear in may be used in Awakening Healing Axis, LLC Marketing materials. *

Yes

No

Covid-19 Notice *

I recognize that the risk of COVID-19 or other infectious illness cannot be completely eliminated. I assume responsibility for my health and cannot hold Awakening Healing Axis, LLC, or its presenters or the event facility responsible for exposure to any illness.