| Full Name: | |
| Country |
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Office Phone #: | (country code, area code, and phone number) |
Home Phone #: | (country code, area code, and phone number) |
Cell Phone #: | (country code, area code, and phone number) |
Fax #: | (country code, area code, and fax number) |
| Email Address: | |
| Confirm Email: | |
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| NOTE: | Instructions on how to access Part I, the online component, will be provided to you at this e-mail address. |
| Your Profession: |
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Have you taken any courses in cranial concepts? |
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Have you taken courses in osteopathic or chiropractic concepts? |
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| IDI (Introductory Diagnostic Indicators) is a prerequisite for ALF, OCB, PAR, DCB courses |
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Quantum Nutrition Concepts
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QNC - May 2 & 3, 2008
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Introductory Diagnostic Indicators
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IDI - (Choose date, below)
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Advanced Lightwire Functionals
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ALF - March 14 & 15, 2008
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Occlusal Cranial Balancing Technique
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OCB - May 16 & 17, 2008
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Dental/Whole Body Connection
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DBC - April 11 & 12, 2008
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| Introductory Seminar (IDI), choose the date you will attend. |
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