About JSJ / Mary in Blue River
Home > JSJ Practitioner Locator
Decrease Font Size Increase Font SizePrint this page
Translate This Page

Please complete all information below. This is a secure connection as noted by the lock in the lower right corner of your browser window.

To qualify you must have taken one (1) Jin Shin Jyutsu, Inc. sponsored class within the past Year (5-Day Basic, STC, Expanded STC, LTA, NKM, Expanded 5x3, Mentoring or 3-Day Mentoring STC). Please list below.

Registration fee for re-subscription is $20 per year.

Contact Information
First Name:
Last Name:
Street Address:
Do you want your street address published on the JSJ locator website?
City:
State:
Zip Code:
Phone:
Do you want your phone number published on the JSJ locator website?
Email Address:
Do you want your email address published on the JSJ locator website?
Course Information
Do you teach Self Help using Mary Burmeister's Self Help Book's and want that published on the JSJ locator website?
This section is for you to list your office hours, regularly scheduled JSJ self help classes and study groups only. (less than 140 total spaces).
Please list the Jin Shin Jyutsu Class Taken within past 12 months: include Instructor, Date & Type of class taken (5-day, STC, LTA, NKM or JC) :
Payment Information
Credit Card Holder Name:
Credit Card Address:
Credit Card Type:
Credit Card Number:
Credit Card Expiration Date:
Do you agree to JSJ's terms and conditions?