Name *

First Name

Last Name

Address *

Address 1

Address 2

City

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Zip/Postal Code

Country

Telephone *

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Payment Agreement *

Total Investment: $3995 ~ You will receive an email to complete payment following Registration. Payment plans are available through Afterpay. All discounts for attending with colleagues or other offers will be applied to Room & Board.

I understand that my registration is not completed until payment is received.

Room & Board *

I understand Room & Board for Module 3 is not included in tuition and will be billed separately. R&B includes lodging, privately catered meals, and snacks for the duration of the training. Total investment will be calculated based on number of participants and location. Travel to and from the training is not included.

I understand

Please contact me to discuss

Select all discount(s) that apply for you

Yes, I attended a Q&A or Sponsored Webinar ($100 discount)

Yes, I am attending with a friend ($100 discount on R&B when they register & complete payment)

I have another discount to be applied

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 understand my registration is not complete until payment is received. Tuition is due 30 days prior to Module 1 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.