The Bio Self-Emergence Institute

Bring Body and Soul into Balance

through the Cell Whisper of the Soul

Registration

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Registration Form

Registration Form:

Name:

Address:

City/State/Zip:

Phone:

Cell Phone:

Email Address:

Class Dates
and Times:

Location:

Payment: Check - payable to "BSEI".
See Fee Schedule Below

Print this registration form, fill it out and, return it and class fee to:
	The Bio Self-Emergence Institute 27752 Franklin Road Southfield, Michigan 48034

Fee Schedule:

Individual Sessions: $120 for 50-55 minutes

Medical Intuitive or Healing Sessions: $160 for 50-55 minutes

Bio Self-Emergence Classes

     Introductory Class: one 2-hour class

     Level 1: 6 classes

     Level 2: 6 classes

Walking the Body's Labyrinth: $120 for each one-day session

Embodied Meditation: $35 per class

Please call Donna Richoz Harber, MSW, CBT, at (248) 355-2191
or email her at drharber -at- mail.com for more information.