Creating Positive Energy Within Yourself and Others Creating Positive Energy Within Yourself and Others Question Title * 1. First name? Question Title * 2. Last name? Question Title * 3. Date of birth? Question Title * 4. Street address? Please include city, state and zip. Question Title * 5. Preferred email address? Question Title * 6. What is your phone number? We will contact you to confirm your spot in the workshop. Question Title * 7. What is your profession and who is your employer? Question Title * 8. Are you wanting to receive 3 CEUs for this "Creating Positive Energy Within Yourself and Other" workshop? Question Title * 9. Please tell us which workshop you will be attending (please choose one). Saturday 06/24/2017 9am - 12pm Saturday 06/24/2017 1pm - 4pm Question Title * 10. How did you hear about this workshop? Done