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