IMG_1996_web.jpg

Apply

Please take your time with the application and fill out all that is asked of you to the best of your ability. Your time and care in doing so is greatly appreciated, and will no doubt contribute to a healthy and safe learning environment for all involved.

Apply for Class

Thank you for your interest in attending a course in Elemental CranioSacral Work! Please take your time with the application, below, and fill out all that is asked of you to the best of your ability. Your time and care in doing so is greatly appreciated, and will no doubt contribute to a healthy and safe learning environment for all involved. I look forward to seeing you soon.

Each ECSW course supplies the student with 21 CEs through NCBTMB (provider #858336). The current grand total of CEs provided by the courses amounts to 147 hours, not including homework and documented session work. In order to graduate from the program, the prospective student must have completed 10 documented sessions for each course taken and must have received 2 sessions from an ECSW approved, professional practitioner of Craniosacral methodology. 

Name *
Name
as it should appear on the Certificate
(if needing CE credit)
Phone *
Phone
Emergency Contact
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
if applicable
if applicable
Payment Preference *
Are you interested in a payment plan? *
Check yes if you'd like to split your payments into two payments of $200. Check no if you'd like to pay in full.
Disclaimer *
Please check the box below, indicating that you have read and agree to the following terms and conditions.
 

If you'd rather print the form and email or mail it in, click the button below: