Advanced Care and After Death Care Directives Course Registration Form
March 30-31, 2019
At Earthaven Ecovillage
Hosted by School of Integrated Living and the Center for End of Life Transitions.

Please fill out this registration form and make your payment to secure your space.

Fill out a separate form for each person you are registering.

Personal Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Facebook Name
Optional
Your answer
How did you hear about this course? *
Please be as specific as possible.
Your answer
If there is someone else you're taking this course with that will be registering as well, please provide their name here.
Your answer
Is there anything else you'd like us to know about you ahead of time?
Your answer
Payment
Remember to make your payment after submitting this form to complete your registration process and secure your seat in the class. Instructions are listed at the program page on our website: www.schoolofintegratedliving.org/programs/advanced-care-after-death/
Payment Amount: Sliding Scale ($180–$240) *
Share the amount you will be paying below. (Sliding Scale is in $20 increments). SOIL aims at creating affordable, broadly accessible programs while offering instructors and staff fair wages based on the extraordinary quality of their work. Please consider your needs and resources carefully to determine what might be a stretch, but not a strain, for you to invest in this personal learning opportunity.
Your answer
Payment method *
Please make your payment immediately after registering.
Would you like to contribute financially to making this course possible to someone else who wouldn't be able to take it without the support of others? If so, please designate the amount you'd like to give.
Please include this amount in your check or send via PayPal to info@schoolofintegratedliving.org.
Your answer
Refund Policy
If you cancel, you may transfer your place in the program to anyone of your choosing, who will need to register online. You can also donate your place to someone who would not be able to participate without financial assistance.

A 50% tuition refund is available until March 1, 2019.
After March 1, 2019, there will be NO refunds.

If SOIL cancels this course for any reason whatsoever, 100% of your tuition will be refunded.

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