2022/2023 REGISTRATION FORM
Level 1: FUNDAMENTALS
Naperville, IL

Sponsored by an Approved Eden Energy Medicine Level 1: Fundamentals Teacher
Kelly Goetz
Innersource Faculty
Eden Energy Medicine Clinical Practitioner/Instructor
[email protected]

1528 Lantern Circle, Naperville, IL 60540
630-301-8331

The Level 1: Fundamentals Program in Naperville is a one-year program designed for those people desiring in-depth coursework and supervision in Donna Eden’s style of Energy Medicine (https://edenenergymedicine.com/)

This program is based on a curriculum developed by Donna, along with her faculty members. The goal of the program is to help any student of Eden Energy Medicine obtain a firm foundation in the body of work Donna has created over the past 30 years and to develop the skill levels necessary to begin using these techniques regularly, either with family and friends, or in a professional setting.

Successful completion of Level 1: Fundamentals in Naperville, IL will give students the option of applying this class work toward the Level 2: Certification Training held at one of the regional centers in Baltimore, Maryland , Phoenix, Arizona or in the UK.

Completing Level 2: Certification Training is optional; students in Level 1: Fundamentals may feel satisfied after one year and not see a need to take their studies further.

They may choose to use the information in their family and community, add it to an existing practice or choose to go on to Year 2 and become a certified practitioner.

At the end of the one-year Level 1: Fundamentals program, students will receive a certificate stating they have completed the Level 1: Fundamentals in Eden Energy Medicine, but this should not be construed as a certification in Eden Energy Medicine, as that requires the completion of the Level 2:
Certification Training, along with applying for and completing the certification process through Innersource.

The main purpose of the Level 1: Fundamentals is educational, and classes will include lecture, small group time for practice, as well as question and answer sessions.

Each class is designed to provide you with skills for working with the body's energies to promote physical and emotional well-being. This can be an intense experience and doing energy work in a large group can be taxing, so if you are not in good health, we ask you to take this into account before registering.

If your primary need is in pursuing a healing experience, we encourage you to schedule one on one session with Kelly Goetz.

Level 1: Fundamentals in Naperville, IL is taught by Kelly Goetz. Kelly is an Innersource Faculty Member, an Eden Energy Medicine Advance Practitioner and Level 1 Fundamentals Instructor.

Kelly is passionate about teaching Eden Energy Medicine and empowering her students to grow and evolve.

There are no pre-requisites for Level 1 Fundamentals but rather a willingness to come with an open mind and desire to learn.

Level 1 Fundamentals meets quarterly for Class 1 - 4. Each class must be taken in sequence. 

As the preceding classes is a prerequisite for those that follow.

In the event that you can not attend one of the 4 dates, there are options available if you cannot make all the classes. These are listed in the Withdrawal Policy, below.

2022 – 2023 Level 1 Fundamentals Dates:
Class 1: April 28-30th
Class 2: July 14 - 16th
Class 3: Sept. 29 - Oct 1st.
Class 4: Dec. 8th - Dec. 10th

*Class Schedule will be
9am – 7pm

There will be breaks and time off for lunch. This schedule may vary slightly if unforeseen needs arise.

Where: Home office of Kelly Goetz, 1528 Lantern Circle, Naperville, IL 60540

Note 1: In the event the class exceeds 12 students, we will relocate to a larger facility in Naperville. Students will be notified in advance of class and location will be in the near vicinity.

Note 2: In the event that Covid restrictions dictate that classes can not be held in person, we will move to a virtual platform and hold class accordingly.

Deposit: A $350 deposit will be paid to Innersource. This deposit will be applied to class 4 and is non-refundable.

Tuition: After the deposit of $350 is paid, the remainder of the tuition is $4,030.00 per year paid to Kelly Goetz online here or paid offline.

The tuition payments can be paid in full ($4,030.00) or quarterly Class 1 - 3: Tuition is $1095 - 30 days prior to each class.

Class 4 is also due 30 days prior to class and is $745. Your $350 deposit applies to Class 4.

The tuition covers all of the class handouts, conference space, faculty, and continued supervision by the teaching staff for the duration of the program.

The cost of tuition is guaranteed for the current year.

If paying offline: Please make checks payable to: Kelly Goetz. You may also use Chase Pay (Zelle), Venmo or if you would like an automatic payment format.

In these cases, use my email: [email protected] and cell phone 630-301-8331 to ensure it is transferred appropriately.

Mailing address: Kelly Goetz, 1528 Lantern Circle, Naperville, IL 60540

Deposit and Tuition Structure is:
Deposit to Innersource: $350
Class 1 payment: $1,095.00
Class 2 payment: $1,095.00
Class 3 payment: $1,095.00
Class 4 payment: $745.00

Accommodations: Meals and lodging are at the student’s expense.

Level 2: Certification Training: If you are interested in applying your year of Level 1: Fundamentals in Naperville, IL towards becoming certified in Eden Energy Medicine, there are several items to consider.

1. Level 1: Fundamentals is designed for students interested in applying Energy Medicine to themselves, friends, and family. Students who complete Level 1: Fundamentals will receive a Certificate of Completion.

There will not be a title associated with the certificate of completion and students will not be listed on the Innersource website as an EEM Certified Practitioner.

Students completing Level 1 Fundamentals are eligible to attend the Level 2: Certification Training within two years following completion of Level 1: Fundamentals.

If students who complete the Level 1: Fundamentals also complete the Level 2: Certification Training, they will be eligible to apply for the title of Eden Energy Medicine Certified Practitioner (EEM-CP).

The Level 2: Certification Training is recommended for students who plan on applying the energy methods professionally or who want to heighten their proficiency. The requirements for each program are outlined on Innersource’s website.

2. Both the Level 1: Fundamentals and the Level 2: Certification Training require you to complete a take home, open book test after each quarter and do a live or on-line demonstration, through Zoom, or other similar video conferencing, of the material learned. In addition of the open book test, it is recommended that you complete 3 practice sessions and complete a tracker form that you will learn in class as well as 1 tracker session on yourself. These will be taught and discussed during in-person class time.

Tentative due dates provided for your planning purposes and will be confirmed again at class.

Many students like to know in advance the dates they will be responsible for between classes. These will be discussed and reviewed in class. Here are key dates for your calendar:

Deadlines Between Class 1 - Class 2 Dates:
Open Book Written: May 22nd
First Practice Tracker: May 22nd
Self Practice Tracker: May 27th
Second and Third Practice Tracker: June 3rd
Demonstration (1hr on Zoom) with Kelly : June 10th (Schedule between May 22nd and June 10th)

Dates will be reminded at class. Please make a note on your calendars at this time and save time accordingly.

3. All students must pay a $350.00 non-refundable deposit, submitted online to Innersource. This deposit will be applied to your Class 4 tuition. This deposit is required immediately to finalize your spot and also receive Early Bird bonus material before the deadline of April 18, 2022.
https://uy285.infusionsoft.app/app/orderForms/Foundations-Class-Deposit

4. Before taking the Level 2: Certification Training held at one of the regional centers in the Baltimore, MD or Phoenix, AZ, please read the guidelines from Innersource that outline the steps you need to take in order to become registered: https://edenenergymedicine.com/eemcp-year-2/

Class Materials: All students must purchase the following class materials BEFORE Class 1 starts:

Energy Medicine book
Energies of Love DVD or book (not required if they attended an Energies of Love “live” class with Donna and David, or have the streaming version)
Ethics Handbook for Energy Healing Practitioners
The Nine Energy Systems DVD

Please note, you will receive a 30% discount upon receipt of your full tuition of $1095 and deposit of $350. This discount is good during the first class and only for the required material.

We request that you bring your Ethics Handbook for Energy Healing Practitioners and Energy Medicine book for reference at each class.

Please order these materials online at https://edenenergymedicine.com/product-category/foundations-student-course-materials/

Your teacher will provide you with a discount code for savings on these materials following receipt of your full tuition.

Registration Procedures: Please be sure to pay your $350 deposit to https://edenenergymedicine.com/forms/level-1-deposit-form/

WITHDRAWAL POLICY - Read Carefully

Once your tuition of $1095 is received plus your $350 deposit for Class 1, you will be invited to EEMCentral Registration where your first assignment is to complete your Ethics and Student agreement.

Withdrawal 30+ days before class which is March 29, 2022, if you choose to cancel, please email me at [email protected] of your intention to cancel and you will receive a full refund provided I receive this on or before March 29, 2022.

On or after March 30, 2022 if you are withdrawing or registering within the 30 day window before class, there are no refunds. You will be given access to course material through EEMCentral.

Access to EEMCentral and Class Materials:
Twenty-nine (29) days prior to in-person Level 1 Fundamentals Class 1 which is March 30, 2022 you will receive access to EEMCentral Main Class and EEMCentral Written and demonstration Class provided all tuition fees and deposits have been received. At this time, your class has begun and all fees are non-refundable.

Registrations that occur under the 30 day window before class will be given access as soon as tuition and deposits are received in full. We will do our best to add you to these materials on EEMCentral Main Class and EEMCentral Written and Demonstration Class as quickly as possible. This signals the start of your class.

No refunds will be given for registrations completed under the 30 day window.

In all cases, once you have received access to class materials through EEMCentral Main Class and EEMCentral Written and Demonstration Class, regardless of when you receive these digital and downloadable materials, there will be no refunds for class.

Innersource Class 1 Deposit:
This deposit agreement is between the student and Innersource. The $350 deposit paid to Innersource is non-refundable and applies to your Class 4.

However, if you withdraw from Class 1 BEFORE the 30-day deadline of March 29, 2022 and before you have received access to the Class 1 materials in EEM Central, the deposit is no longer refundable.

Innersource's policy is once you have access to digital material for Class 1 through EEMCentral Main Class and EEMCentral Written and Demonstration Class, the class has begun and the deposit is non-refundable.

Our policy for tuition refunds.
We require written notice by March 28, 2022 for a full refund. On March 29, 2022 - April 28, 2022 tuition is considered final and there will be no refunds. Y

You will be entered into EEMCentral Main Class where you will receive digital class material.

In the event that you withdraw more than 30+ days before class (March 29, 2022), have not received downloadable class materials through EEMCentral, you may write us for a refund for your tuition.

Withdrawals received before March 29, 2022 and before entered into EEMCentral Main Class will receive a full refund less processing fees.

For withdrawals that occur from Class 2 forward.
In the event that you pay in full for Class 1 -4 ($4030.00).

If you withdraw from the program more than thirty days before the start of Class 2, 3 or 4, and have paid in full, you will receive a 50% refund on any monies you have paid toward that particular class, and a 100% refund of money for any classes you have paid for in advance of the class.

If you withdraw less than thirty days before a class, there will be no refunds for the class you are entering however you will receive a full refund for the remaining classes.

The $350 deposit is not part of this refund as it is non- refundable after start of Class 1. It can be transferred to the following class year to allow time for you to complete Level 1 Fundamentals.

If you withdraw less than thirty days prior to the start of any Class 1, 2, 3 and 4, no refund of tuition will be given for that Class.

Tuition is $1095 for Class 1, 2 and 3 and $745 for Class 4. The deposit paid at Class 1 of $350 to Innersource part of your Class 4 tuition and has already been deducted from the Class 4 price listed above.

At any time during the year, should you need to withdraw for personal reasons, we will discuss potential options for continuing on in Level 1 Fundamentals in the following year.

If you just miss a class, but intend on completing the one-year program, you are still responsible for the full tuition for the class missed.

Your tuition will still give you access to Kelly Goetz for questions on the material as well as Course Books and continued participation in Level 1: Fundamentals.

Withdrawals must be received in writing or by e-mail ([email protected]) and will be promptly acknowledged once received.

In the case of emergencies (death or injury) or catastrophic (natural or accidental) events, you may contact Kelly Goetz and discuss your options at 630-301-8331.

Unforeseen Life Emergencies:
We understand life happens. If there is an emergency within the 30 day window of class beginning and you have received class materials, we will do our best to find a solution that best supports you.

Options may include being a Missing In Action student or transferring your tuition to the next school year.

Please email me or call me as soon as possible so we can best support you.

Missed class policy

It is your responsibility as a student to make up all work and instruction you miss if you fail to attend any of the four classes in this Level 1: Fundamentals program.

Every effort will be made to work with you, including options such as review classes and private tutorials, at the student’s expense. You may also watch a streamed video from EEMCentral of the missed class (filmed previously).

The video streams are part of your class tuition and found on EEMCentral Main Class.

You could also attend that class at another Level 1: Fundamentals location. A list of those classes can be found on the Innersource website: https://edenenergymedicine.com/foundations-home/. If you attend a class elsewhere, you may return to your original Level 1: Fundamentals location for the next class.

Please discuss your options with your Level 1: Fundamentals teacher, Kelly Goetz

It is your responsibility as a student to make up all work and instruction you miss if you fail to attend any of the four classes in this Level 1: Fundamentals program. Every effort will be made to work with you, including options such as review classes and private tutorials, at the student’s expense. You may also watch a DVD of the missed class (filmed previously). The DVD is purchased from Innersource.

With the agreement of your instructor, you could also attend that class at another Level 1: Fundamentals location. A list of those classes can be found on the Innersource website: https://edenenergymedicine.com/foundations-home/.

If you attend a class elsewhere, you may return to your original Level 1: Fundamentals location for the next class. Please discuss your options with your Level 1: Fundamentals teacher.

You have a one time option to complete class as a MIA student in each class year.

MIA is a Missing in Action student who completes study at home by watching videos and practicing. These students complete the written/demonstration assignments and will have adjusted deadlines based on circumstances. Class tuition is paid in full prior to receiving course books and videos. Additional mentoring needs will be pre-discussed and determined upon requesting this options.

I understand that Eden Energy Medicine is an innovative approach to health care, which is only beginning to be investigated scientifically. I further understand that the training in Eden Energy Medicine and other services I am or maybe receive from Kelly Goetz/Healing Bridge/Innersource do not substitute for a diagnosis and/or treatment from a qualified health practitioner for illnesses, injuries, or other medical conditions.
I understand that some classes are videotaped, that these tapes may be distributed for educational purposes, and I give my permission for my participation to appear on these tapes.
Kelly Goetz/Healing Bridge/Innersource reserves the right, at its discretion and without explanation, to ask a student to leave a Level 1: Fundamentals class, to terminate a student from Level 1: Fundamentals, or to not complete a student from Level 1: Fundamentals based on failure to meet the academic, behavioral, professional, or ethical standards of the program as determined by Innersource staff. Any refunds will be fairly determined, again at the discretion of Innersource staff, on a case-by-case basis.
I also understand that any activity in which a person might participate involves some risk. In consideration of being permitted to enroll for the instructional and other services offered through Kelly Goetz/Healing Bridge/Innersource, I release and hold Kelly Goetz/Innersource, its agents, officers, employees, directors, successors, and affiliated corporations harmless from any claims arising out of my participation in the instructional or other services offered by Kelly Goetz/Healing Bridge/Innersource.