Foundations, Fevers and First Aid

First Name *

Last Name *

Phone *

Email *

How Did You Hear About The Class? *

What is your profession or special interest? *

How will you be attending?

In Person

Via Live Video Call

Watching the recordings on my own time

Have you ever attended Dr. Keila's Cell Salts Class before?

Yes, I have (Your alumni registration fee will be $75)

No, I have not (Your registration will be $125)

If you are paying with card, tax will be automatically added.

How will you be paying? *

Credit/Debit Card (cc processing fee will be added)

Zelle

Cash mailed to Dr. Keila

Collect Payment *

$ 128.75

$ 77.25

I agree to the terms & conditions provided by Dr. Keila. By providing my phone number, I agree to receive text messages from her.

Office: Richardson, Texas

Call (214) 986 - 3839

Email: [email protected]

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