Registration for Women’s Health Study Group

October 8 – December 16, 2019

6 sessions, every other week for 6 group meetings
6:30-9:00 pm

- Tuesday, October 8
- Monday, October 21
- Tuesday, November 5
- Monday, November 18
- Tuesday, December 3
- Monday, December 16

Instructor: Cindy Micleu
Cost: $350
Participants must have a working knowledge of Chinese herbs.

To reserve a spot in this group, please fill out the form provided and either email or send it with your payment. Payment by check or money order can be sent to the address below. We are not accepting other methods of payment for the study groups at this time. Your form and payment must be received within 14 days in order to hold your place.

The questions on the registration form are intended to help us understand your background and your proficiency in herbal medicine, as well as what sort of topics you would like to discuss and your specific interests in continued learning. This information will help to tailor the study group to each individual practitioners needs.

Name (required)

Email (required)

Phone (required)

Please briefly describe your Chinese herb and acupuncture training:

What school did you graduate from?

How many years have you been in practice?

How many years have you been using herbs in your practice?

To what extent do you use Chinese herbs in your practice? Individualized formulations? Patent herbs?

Do you have any particular ob/gyn topics that you would particularly like to discuss in class? If so, please list up to 3. Every attempt will be made to address your areas of interest but ultimately the topics for this group will depend on the combined interests of everyone participating. The list of topics will be finalized by the first group meeting, so this will be your only chance to share your preferences.

Is there anything else you would like the instructor to know about your reasons for, and hopes for, attending this study group?

I have read and understand the cancellation/refund policy for this class.

Please email if you have questions: cindy@jadeinstitute.com

Send form and check or money order to:

Cindy Micleu
Jade Institute
122 N. 74th St.
Seattle, WA 98103

Refund policy: Please understand that when this course is full, others may be turned away from registering. If you need to cancel your place in this group, letting us know with more than a month notice will make it more likely that we can offer your spot to someone else. Because people need to plan to be available on the class dates, more notice is always better. Thank you for your understanding!

Cancellations made 4 or more weeks prior to the first day of class will be refunded the full course tuition paid, minus a $75.00 processing fee. Cancellations made less than 4 weeks prior to the first day of class will be refunded 60% of the total course tuition. No refunds will be given after the first class.

The Jade Institute reserves the right to cancel courses with insufficient enrollment. In which case, a full refund will be granted to those registered.

Registration for Women’s Health Study Group

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