Inner Cosmos energy healing - flowering from within

Being Heart Centered

 Registration

Holistic Solutions for Realistic challenges

 

Clarity opens the doorway

towards Newer, Better and Greater choices

giving you more Empowerment than ever before.

 

Personal Information

 

Name        

Date of Birth  Age    Email 

Address    

City          State    Zip 

Phone no ( H )    Phone no ( C ) 

 

Please describe your 3 greatest challenges, Concerns or fears.

 

Please specify 3 specific goals you'd like to accomplish

participating in Being Heart Centered workshop

Cancellation Policy

If unable to attend, kindly inform us 7 days prior to the class.

Signature    Today's date 

Disclaimer

Energy Healing is not a substitute for medical care

Please read our policy

 

 

www.innercosmos.com

flowering from within

 

Life is full of choices  -  Choose radiance  -  Choose Inner Cosmos 

 

Copyright 2003 - 2017 Inner Cosmos - flowering from within

energy healing school in Los Angeles - California