Application for Training and Experiential Workshop in Past-Life Regression Therapy
* We will honour the confidentiality of your information.

* The Course will be psycho-spiritual in nature.

* This course is best suited for people who would like to experience PLRT and transform their lives and
also bring about this transformation into the lives of others.

Email address *
Nickname *
Please enter Only your First Name or Given Name or what your friends call you. Your attendance to this program can be kept entirely confidential*.
Your answer
Mobile number *
Please provide a number we can reach you on as we call and confirm before processing your application. Prefix your country code in case of International Numbers.
Your answer
Where are you from? *
Where you are based out of so that we can assist you with Visa anything else necessary.
Your answer
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