Class Registration Form

Contact Information
Please complete all fields so that we may stay in contact with you regarding the course you are registering for today. Payment for the first class must be received to hold a seat in the class.
Name
FirstLast
Address
Street AddressAddress Line 2CityState / ProvinceZip / Postal CodeCountry
Phone
Phone format: (###)###-####
Email
Course Information
Please select the course from the drop down list below.
Course Title
Contact Hours
Please indicate below if you are an RN, a Massage Therapist, or Other professional who is interested in contact hour credits. Please select for contact hour courses only.
Contact Hours
- RN
- Massage Therapist
- Other
Massage Therapist License Number
If you have indicated you are a Massage Therapist, please provide your license number here.
Moses Cone Employees for Contact Hours Courses Only
If you are a Moses Cone Employee, please enter the information below to receive contact hours for the course you are registering for and to receive any Moses Cone employee discount.
Department
Moses Cone Employee Information: For Contact Hour Courses Only
Employee ID
Captcha

Thank you for choosing PRIMAL HINTS! We look forward to seeing you in class!

Additional questions?
Contact Cheryl

Random Quote

The air was fragrant with a thousand trodden aromatic herbs, with fields of lavender, and with the brightest roses blushing in tufts all over the meadows. . . — William Cullen Bryant

Upcoming Events

Wed 3/24/2010: Aromatherapy II-Beyond Lavender
Sat 3/27/2010: Aromatherapy Certification Class III-Creating A Healthy Environment
Wed 4/7/2010: Aromatherapy I-Introduction to Aromatherapy
Sat 4/17/2010: Cabarrus County Spring Herb & Plant Festival
Wed 4/21/2010: Aromatherapy II-Beyond Lavender