Mastering Ascension - YOUnified Registration form
Please complete this form and submit as part of your registration. Once I have received both your tuition and this form, I will confirm your seat has been reserved for you.
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Best phone #
Full Mailing Address & Postal Code :)
Emergency Contact & Phone #
Date of Birth
Were you referred by someone?
Do you have training or experience in Integrative Medicine/Energy Healing?
Would you like to book any additional days at La Solitude? ($50 extra each day)
Please acknowledge our cancelation policy
tuition is non-refundable/transferable unless the class is canceled or postponed by the organizer at which time you will be offered a refund or have your tuition transferred to the new event date.
Yes, I understand
How would you like to pay your tuition?
tuition is non-refundable/transferable unless the class is canceled or postponed by the organizer.
E-transfer send to
Credit card - an invoice will be emailed to you for online payment
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