TAO Care Class Registration Form:

You may also copy, paste, print the TAO Care class registration form below, fill it out completely, and mail it with your deposit to:

The Art Of Healing Registration Form:

Date of Course: ____________________

Course Name: ____________________

Name: ______________________________

Address: ________________________________________

City: ____________________ State: __________ Zip: __________

Home Phone: ____________________

Cell Phone: ____________________

Email: ______________________________

Basics Course in the Art of Healing - 2 day course: $ 350 (Deposit $100)

Intermediate Course in The Art of Healing - 2 day course: $ 350 (Deposit $100)

Advanced Course in The Art of Healing - 2 day course: $ 350 (Deposit $100)

Full-time Student tuition $100 discount Amount enclosed $ ____________

_______Yes, I can bring a massage table

______No, I can’t bring a massage table

Make Checks Payable to: Center for Integrative Medicine

Mail to: Mary McLendon

Center for Integrative Medicine

Medical Center Blvd

Winston-Salem, NC 27157

TO REGISTER & FOR QUESTIONS:

EMAIL: mmclendo@wakehealth.edu

Deborah Larrimore, RN, BSN, CHTP/I, LMBT (#270)

TAO Care