Name *

First Name

Last Name

Are you prepared to face challenges that will come up and not let them stop you from coming and completing the class?

Yes

No

I am willing and prepared to be "paid in full" before class begins. (This is important not because I do this to make money- it is a symbol of your commitment to living your ideals and taking the concepts into your life. This is a big step and turning point, so you want to be prepared!)

Yes

No