This application is for all Level 3 courses being held in the US and Canada, all teachers.

Please complete each section. If you have not yet completed your Level 2, please list the course you will be attending.

If an item does not apply, simply list N/A.

After completing this form, please remit the course deposit here

and then email us a photo of yourself to info@livingenrichment.com

If for some reason you are unable to apply online, you may send a paper application. However, online enrollment is strongly recommended.

Note: Enrollment for PA Level 3 in July 2019 is now closed. 

* Required fields

Name *

E-mail Address *

Please select the Level 3 course you wish to attend * Fort Lauderdale FL Feb 28-Mar 3, 2019 Teacher: Nancy Buono, BFRP, Director of EducTucson AZ April 3-7, 2019 Teacher: Nancy Buono, BFRP, Director of EducDoylestown PA July 25-28, 2019 Teacher: Dr Lauren Nappen, BFRPSoCal/LA, CA October 3-6, 2019 Teacher: Nancy Buono, BFRP, Director of EducSeattle, WA November 7-10, 2019 Teacher: Nancy Buono, BFRP, Director of Educ

Your address *

City *

State or Province *

Postal Code *

Country *

Phone # with area code *

L1 course taken- Date & Location *

L2 course taken- Date & Location *

What is your occupation? *

Qualifications - Please list any degrees/training/qualifications you may have *

Do you currently run a practice and if so, in what modality?

How long have you been using the Bach flowers? If you have been using them professionally, how long have you been doing so? *

What skills or qualities do you possess that you feel would be an asset as a Bach flower practitioner? *

I have read and agree to the Privacy Policy *

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