Student Registration Form

Student Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
Please state who you were referred by .
I was referred by blanks*.
Do you give permission for Coach Rhonda to post your picture as a newly enrolled manifestation student on her facebook and or IG page?*

YesNo
My Products*
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Manifestation School Tuition -- Low Monthly PaymentsThe Manifestation Subscription is a recurring payment. This is a monthly automatically charge. The fee will be charged to your account each month automatically. Monthly auto debit of $29.98 Subscription/Tuition plus $3 monthly processing fee. It's the Students responsibility to CANCEL. All Payments Are Non-Refundable
$32.98 for each month

6 Month Prepaid Tuition: The Manifestation SchoolPay for classes up-front. No monthly recurring charges. 6 month prepaid tuition is $179.88 plus $12.99 processing fee. Payment is Non-Refundable.
$192.87 one-time payment

Total

$0.00
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