Professional Kinesiology Services, LLC

Balance - Physical, Emotional & Nutritional

Contact Form

Please fill out the following information when signing up or inquiring into classes. If you cannot attend the current series of classes, we will be happy to send you a notice when the next classes are set up if you specify which classes that you are interested in.

Back to Class Schedule
 

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail * For a reply your email address is required!

        Would you like to be added to our mailing list?

Yes No

How would you like us to contact you?

Telephone
Mail
email
fax

How did you hear about us?


If other, please give source of referral:

Select any of the classes that you are registering for:

Touch for Health I
Touch for Health II
Touch for Health III
Touch for Health IV
K-Power ® Class: Stress Release made Easy
K-Power ® Class: Mastery of Emotional Stress Release
K-Power ® Class: 5-Element Funds. & Muscle Testing Basics for Manual Therapists
K-Power ® Class: 5-Element Funds. & Muscle Testing Basics for Mind-Body Therapists
K-Power ® Class: Core Muscles and Techniques for Strength and Stability
K-Power ® Class: Overcoming Co-Dependency
K-Power ® Class: The Shoulder/Arm Protocol
K-Power ® Class: The Elbow, Wrist and Hand Protocols
K-Power ® Class: Your Face is Talking to Me
K-Power ® Class: Your Face is Talking Again
K-Power ® Class: The Hip/Thigh Protocol
K-Power ® Class: The Knee, Ankle and Foot Protocol
 

If registering for a class please specify dates and location:

Dates: 
     Location: 
 

Do you need more information about any of the following:

Accommodations
Maps
Course Content
Costs
Credits
Other

Is there anything else? Please feel free to ask questions, make comments, etc. 


Copyright © Professional Kinesiology Services 2007
Revised: June 22, 2008

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