Session 1: May 1-4, 2014 Madison, CT

Join us for Session One, The Nurse Healer and Holistic Practice, May 1-4, 2014 in Madison, CT. The Mercy Center at Madison is blessed with 33 acres of breath-taking, waterfront property resplendent with shrubs, flowers and other plantings. From Mercy Center's beautiful, private beach to the outdoor gardens to the Seaside Meditation Room and Chapel, you will feel welcomed, safe and peaceful here.

Last Name First Name Address Apartment City State Zip Code Day Phone Evening Phone Email Address Healthcare Affiliation Area of Practice Number of years in nursing Highest degree achieved Do you intend to complete IHAP program? If yes- what year do you plan to complete IHAP Intend to become certified in Holistic Nursing? Nursing license number or Social Security number Program Fee Accomodations Private Room $65 additional per night. Food Preferences Discounts AHNA Member ID How did you hear about The BirchTree Center? Your comments
1 bb.b ./n/n b/;h   g;otgpy   01033 413-348-7007 413-348-7007 marie@birchtreecenter.com BTC     MA Yes   Yes lasdhHFPHf Full (includes lodging and meals) - before 4/1/2014 $695 Extra Overnight at Retreat Center $125,Private Room (if available) $65 additional per night   Vegetarian AHNA Member $-25      
2 bb.b ./n/n b/;h   g;otgpy   01033 413-348-7007 413-348-7007 marie@birchtreecenter.com BTC     MA Yes   Yes lasdhHFPHf Full (includes lodging and meals) - before 4/1/2014 $695 Extra Overnight at Retreat Center $125,Private Room (if available) $65 additional per night   Vegetarian AHNA Member $-25