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Energy Healing for Fireworks Registration
July 4 @ 7:00 pm
-
9:00 pm
donation
«
Advanced Pranic Healing – Level 2 Seattle area
Advanced Pranic Healing – Level 2 Portland, OR
»
Energy Healing for Fireworks registration 2026
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Person Name
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Last
Address
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Street Address
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Phone
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Type of Registration
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Volunteer Healer
Participant with pet
Pet information
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Name
Age
Breed
Pet information
Name
Age
Breed
Pet information
Name
Age
Breed
Energy healing training & experience
*
Pranic Self-Healing online
Basic Pranic Healing Level 1
Advanced Pranic Healing Level 2
Pranic Psychotherapy Level 3
How did you hear about this class?
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Optional Donation
$25
$35
$45
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Liability Release
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I, THE UNDERSIGNED FOR MYSELF OR ON BEHALF OF ANY PET, AGREE TO THE FOLLOWING: I understand that Energy Healing / Pranic Healing® practitioners are not licensed physicians or veterinarians, and Pranic Healing® treatments are not licensed by the state but are complementary to healing arts services licensed by the state. That Energy Healing / Pranic Healing® practitioners do not physically touch the recipient’s body, diagnose diseases, prescribe any drugs/substances or make any health claims or guarantee any outcomes. That although this is a healing modality, and the goal is to improve health, I understand that unexpected or unanticipated results may occur. That Energy Healing / Pranic Healing® is not meant to replace conventional medicine but rather to complement and enhance it. If symptoms persist, I agree to consult a medical professional. I understand that I am responsible for my own safety. I expressly accept all risks associated with this activity and voluntarily assume full responsibility for all the consequences of my choosing to engage in Energy Healing / Pranic Healing®. I hold Heart to Heart Healing, LLC , Liza Burney and all volunteer healers harmless for any death, injury, damage, or loss which I (or any pet on whose behalf I sign this contract) might suffer as a result of participation in this process, including any injuries or damages which result from another's negligence or fault. I have read and accept the terms of this liability disclaimer agreement.
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Details
Date:
July 4
Time:
7:00 pm - 9:00 pm
Cost:
donation
Event Category:
Registration forms