Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Tuition *

Tuition is $3,564 USD for 12 classes, or $297 USD per class. You are accountable for payment of all 12 classes either at the start of the program or you can pay in monthly installments at the time of each class. Upon acceptance into the program, we will call or Zoom and schedule the first 2-hour class on a mutually available date and then schedule follow-up classes in advance or at the conclusion of each class, whichever is preferable to you. If you are unable to make a class, please notify me within 24 hours prior to class and we will reschedule it within the same month, subject to availability.

I accept these terms.

Credit Card *

Upon acceptance into the program, each student will be asked to provide a credit card number to be kept on file. Your card will only be charged at the time of each class or if you drop out of the class mid-year.

I accept these terms.

Early Withdrawl *

If you choose to withdraw from the program mid-year, for any reason, the outstanding balance of your remaining tuition will be charged to the credit card on file.

I accept these terms