2019 Vibrational Medicine/Medical Intuitive
9 Month Certification Program - Kansas City

Enrollment Form

Once you complete this form, CJ will send you a student questionnaire or contact you if you requested additional information.
Your Contact Information:
Full Name:

Street Address:

City:

State/Province:

Zip/Postal Code:

Email Address:

Phone:

What part of the program are you enrolling for?

What would you like to share about yourself? or
What questions would you like answered?

 










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