Tao Of Trauma Single Module Registration

Name*

Email*

We have been having problems with certain email providers, including Yahoo and AOL. If your primary email is with YAHOO or AOL, please also leave an alternate email below.

Alternate Email

For YAHOO and AOL users

Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I am licensed as a:*

Please enter "Other" Professional Affiliation here:

For NCCAOM PDAs

Please provide your State Acupuncture license #, NCCAOM #, and date of birth if you would like NCCAOM PDAs

BIPOC, LGBTQ+, or First-Generation Immigrant?

In the spirit of cultural transformation through healing, if you are BIPOC, LGBTQ+, or a first-generation immigrant, please check this box to receive 25% off fees.

BIPOC, LGBTQ+, or first-generation immigrant

I am registering for:

Single ToT Module for REPEATERS @ $200 (2023-24 rate)
Single ToT Module for REPEATERS @ $225 (2024-25 rate)
Single ToT Module for REPEATERS @ Other rate (please enter amount below)

I am registering for:

Fees reflect 25% discount

Single ToT Module for REPEATERS @ $150 (2023-24 rate)
Single ToT Module for REPEATERS @ $168.75 (2024-25 rate)
Single ToT Module for REPEATERS @ Other rate (please enter amount below)

Other Payment Amount

Enter other payment amount here.

Which ToT module are you registering for?

Affinity "Pods" in Virtual Cohort

If you are registering for a VIRTUAL course and wish to be placed with others in an affinity group for practice sessions and discussion groups ("pods"), please select the affinity group(s) you prefer. Note that we need at least three people to create an affinity-based discussion group ("pod") and at least two to create an affinity-based practice pairing.

BIPOC
LGBQT+
First-generation immigrant

Covid Policy Acknowledgment*

Required for those registering for in person Silver Spring or Thousand Oaks cohorts

I have read the Covid 19 Policy and Release of Liability Waiver
Not applicable

Payment Method*

Checks should be made payable to "Integrative Healing, LLC" and mailed to Integrative Healing, LLC, PO Box 204, Hyattsville, MD 20781. Receipt of your fee will hold your space. Cancellations made 30 days prior to the first day of series will receive full refund, less $100 admin fee. Other cancellations will receive pro-rated credit towards a class held in the next 18 months.

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