Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone *

(###)

###

####

Foundations Completed? *

Yes

No

Date and Name of Advancements Attending *

Select all that apply

Date -- Training Name -- Facilitator

Date -- Training Name -- Facilitator

Payment Agreement *

Total Investment: $2295 You will receive an email to complete payment. Payment includes Tuition, Room & Board for the entire training.

I understand

Other: Please contact me to discuss payment terms

Room & Board *

I understand Room & Board is included R&B includes lodging, privately catered meals, and snacks for the duration of the training.

I understand

Please contact me to discuss

Statement of Commitment (Select ALL) *

I commit to attending all required days of the training in their entirety.

I commit to respecting my fellow students and maintaining confidentiality.

I commit to paying my full tuition balance within 14 days prior to start date.

I commit to NOT teaching this course without expressed permission and training.

I commit to sharing course materials (scripts) ONLY with others who have received this training.

I commit to showing up with an open mind and an open heart for learning and growing.

I commit to communicating with one of the teachers immediately if any unforeseen circumstance arises that would cause me to be out of integrity with any of the above stated commitments.