Registration Form Phase 2  Where Two or More Gather
Contact: Name
Phone: XXX-XXX-XXXX
Email: abcde@gmail.ca
$50 deposit required by date
Non-refundable after that date
Make cheques payable to:
“Name”
Registration details:
Name: 	…..…….……..…....……………………
Phone: 	….....….............……………………….
Email: 	…....………..………………….……….
Congregation: 	……….………………………..
I would like to be billeted:      YES     NO     
Healing Pathway courses taken: 
PHASE	DATES	
1 Introduction		
2 Where Two or More Gather		
2 Healing from the Heart		
3 Communion of Saints		
Consent: Your signature is required to add your contact information to the Healing Pathway master list and receive email updates. You can unsubscribe at any time.
Signed: 	…….………..…….……………………
Mailing address see over >
(please remember your deposit)
Food:  Beverages and snacks will be provided. Please bring your own if you have special dietary needs. (Use one of the following re lunch)
Lunch is provided on Day. Please bring your own lunch.
Clothing:  This is a hands-on, experiential workshop. Please dress comfortably in loose, layered clothing. We recommend warm socks and a sweater or sweatshirt.
Please bring: a pillow and a blanket. (Delete if being provided.)
How to Get Here:
Place directions here. 

Accommodation: 
Billets may be available on request.

The Healing Pathway is a program to help people develop the gifts and skills of energy-based healing within the Christian tradition, and to foster the development of healing ministries within faith communities.

www.healingpathway.ca
healingpathwaycanada@gmail.com
Sponsor’s name if applicable (e.g., church, group, or community)

Healing Pathway workshop
Phase 2 
Where Two or More Gather

	
Dates
At

Venue Name
address and city 
phone # XXX-XXX-XXXX

Healing Pathway Phase 2
Where Two or More Gather is one of two parts of Phase 2 in the Healing Pathway program. It includes learning surface anatomy of the neck and back and practising specific healing sequences for these areas. Other aspects covered include the experience of group healing and support for the Practitioner’s growth toward wholeness. Emphasize is on development of self as an instrument of healing. Phase 1 is a prerequisite. The workshop includes the following: 

Content…
	Learning about the surface anatomy of the neck and back
	Exploring the body, mind, and soul connections to the back and the neck
	Learning and practising specific healing sequences for the neck, back and head
	Learning and practising the Sacred Cross technique 
	Learning and practising the basics of group healing
	Discussion of the Practitioner’s self-care and growth towards wholeness
	Reviewing and discussing the Code of Ethics
Phase 2 Workshop
Where Two or More Gather
Friday, Date
Registration 6:30pm,  Workshop 7:00 – 9:30pm
Saturday, Date
9:00am – 5:30pm
Sunday, Date
1:00 – 5:00pm
Instructors

Name A
Bio goes here.

Name B
Bio goes here.

Fees: $210 ($225 after date)
	$105 for people repeating
Note:	$50 deposit required by date

Payment Enclosed

		

	$50 deposit	

	$210 early bird	

	$225 regular	

	$105 repeat	

Send registration with $50 deposit  OR
For early bird discount, send registration with full payment by date

Cheque payable to
Name

to:

Name
Mailing Address
email address