APPLICATION
EAR REFLEXOLOGY

Approved and Regulated by the Colorado Department of Higher Education, Private Occupational School Board
Just for Health School of Reflexology & Healing Arts, #P00116, is approved
as a provider of Continuing Education by the American Reflexology Certification Board (ARCB).

Old Hampden Holistic Center, 3501 South Corona St., #1, Englewood, CO 80113

email: health.on.all.levels@gmail.com
or call: 303-320-4367

Just for Health School of Reflexology & Healing Arts
Name of Course your signing up for:
Course Start Date:
First Name: Last Name: Middle Name:
Birthday: Age: Place of Birth:
Address: City: State: Zip:
Home Phone: Work Phone:
Cell Phone: Email:
Educational Experience: Year graduated High School:
Deposit: $50. Will be credited toward class. Balance of $200 due on first day. In event of cancellation of course by instructor, deposit will be refunded.

Payment Methods:

Check: Make out to “ Just for Health” and write course name on check.
Fill out application and mail along with check to:
Just For Health, 3501 S. Corona St., #1, Englewood, CO. 80113