Registration Form 2010
HBLU: Healing Trauma & Installing Boundaries

Schedule:
Friday, August 20th, 9:00 am-6:00 pm
Saturday, August 21st, 8:30 am – 5:00 pm
Sunday, August 22nd, 8:30 am – 5:00 pm
Monday, August 23rd, 9:00 am- 6:00 pm

Course Location:
Tushita Heaven
31781 Camino Capistrano, Unit 107
San Juan Capistrano, CA 92675

Course Investment:
___$630 special stimulus price registration by July 30th
___$720 regular registration
___$450 for graduate student or intern**
___$360 repeating class

More Information: www.hblu.org

Mail Registration:
Amy St. Hilaire, MFT
the Center: Therapies for Mind~Body~Spirit, LLC
23121 Verdugo Drive, #200
Laguna Hills, CA 92653

Phone Registration: 949.929-5470

Email Registration: amysthilaire@get-centered.com

Name____________________________________
Address__________________________________
______________________Zip________________
Phone________________Email_______________
Profession_____________License #____________

Payment Method
___Check payable to “the Center: TFMBS”
___Visa ___MasterCard Card#____________________________________
Exp. Date_______ 3 digit security code________

Signature_________________________________

Cancellations received up to one week before the training are refundable less a $50 administrative fee.

** Graduate Students/Interns: please submit proof of full-time student status or a letter from your current supervisor with his/her degree and license information along with your registration form