Ancient Wisdom for a Modern World


Inner Strength Qigong Certification

Name: _______________________________________



City: ___________________ State: _____ Zip:________

Phone: __________________________________

Email: __________________________________


Course Name Date     Deposit




Will you need lodging at our Retreat house?
Please circle nights needed:

M - T - W - Th - F - S - Su

Room Requested:  Queenbed  Room   /  2 bed shared room





A confirmation will be sent by email or US mail, with special information about the course you are attending!

Printing and mail this page and check to:

Inner Strength

825 Lovers Leap Rd

Leechburg, PA 15656

Thank you!

Because we limit the class sizes to provide quality education, it's important to register early for the courses you are interested in.

Transfer Students:

If you are registering for an MMQ or DMQ class and have not completed your prior certification with us, we do accept transfer students.  We recommend that you contact us to discuss your previous background, training and other details at We will set up a phone interview with Dr. Cibik to complete your application process.


We require a deposit for all courses upon registration. Deposit amount needed is noted on the course information. Complete payment is needed before course start.

If you wish to schedule your PRIVATE COURSE, please call us at 724-845-1041. You will need a $1000 non-refundable deposit to hold these dates for your private training.

We accept check, money order for registration. The balance can be paid with check, money order or cash at arrival to the course.

You can also register by calling




Ted J. Cibik

  724-845-1041 or Email Us


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