Registration Form for the "Advanced Techniques for Aura Cleansing and Chakra Rebalancing" workshop at Alameda, California.  20-21 January 2024
Email *
Contact Information
Name *
Mailing Address *
Telephone *
Address while attending the course *
Course Prerequisites:  Basic dowsing skills, good health and a meditation practice


Good health and a steady mind are prerequisites for attending this course.  Do you have any health conditions which might affect your participation in the course? *
Please describe these health conditions
A regular, daily meditation practice is a pre-requisite for attending this course.  Do you have a regular, daily meditation practice of some kind? *
Please briefly describe your experience with meditation, energy healing, and intuitive development. *
Registration and Payment Options *
To register for the course, please select a payment option and submit your tuition payment to Stephen Quong in one of the following ways:
Required
Limited Liability Waiver
I understand that my participation in this workshop will include participation in various forms of spiritual and energetic healing modalities.  I take full responsibility for assessing my own readiness and ability to participate in this workshop, and for the practical applications which I might engage in after completing this workshop. I understand that energetic activations and spiritual transmissions intended to enhance my sensitivity and abilities to work with subtle energies are a part of this course, and I accept responsibility for engaging in such activities, with their corresponding consequences.  I understand the medical and legal meaning of the term "informed consent". 

Mandatory Legal Disclaimer:  Attendance at this workshop is for educational and  experimental research purposes only.   Any claims of past benefits or expected benefits are based solely upon anecdotal personal testimonials. These statements have not been approved by the FDA, and no health claims are made or implied.  The educational material presented and discussed in this course is not intended to diagnose, treat, cure, or prevent any diseases or medical condition. Please consult a licensed and qualified health care practitioner immediately if you have any medical problems.  If you have any pre-existing conditions, you should consult with your physician or a qualified, licensed health care provider regarding the suitability and potential dangers of attending this type of course. 
 *
Required
I hereby hold harmless and release Stephen Quong and any of his assistant instructors from any liability which might arise from participation in this workshop. I agree not to teach any proprietary techniques which I learn in this course, without the express written permission of the Instructor, Stephen Quong. *
Required
Cancellation and Refund Policy
You may cancel your reservation to attend the course and receive a refund of your tuition fee, minus a $50 cancellation charge, up until 21 December 2023. After 21 December 2023, no refunds are permitted, but you have the option of receiving credit for other courses, products and services offered by Stephen Quong.

I understand and agree with this requirement.
Please type your first and last name as full acceptance of the Limited Liability and Cancellation Policy stated above *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms