4) City, State and Zip Code
8) Which Training Are You Registering to Attend?
DM1) How Did You Hear About This Training?
9) Why Do You Want To Take This Training and/or What Are Your Expectations?
Register Here For: 'Infant Massage Instructor'
or 'Nurturing Touch for Newborns'
10) What Interests or Experiences Do You Have That You Can Relate To This Type of Training?
11) List Profession / Affiliations / Certifications