NLG Level 2 Online Registration Form

WELCOME TO NLG LEVEL 2 IN ENGLISH!

- PACIFIC TIME -

DATE : MAY 26, 2023 (1-day course)

TIME : 6:30PM - 8:30PM

PLATFORM : ZOOM MEETING

TELEGRAM HOTLINE : (+1)773 999 9853 (Text only)
Registrant Application

Please complete the form below to sign up for the NLG online class.
Full Name*

First name Last name
Email*
Phone Number*
Date of Birth*

MonthDayYear
Address

City State
Ethnicity (Check all that applies)

VietnameseUSAChineseFilipinoHispanicFrenchOther
What is your current job/or professional background?*
What's your Telegram username ?
NLG Energy Source is not responsible for your medical condition when participating in healing practices of NLG methods.
Should be Empty:

WELCOME TO NLG LEVEL 2 IN ENGLISH!