Embracing the Shadows:

Dark Night of the Soul

A Journey into Your Inner Self
Registration Form

Please fill out this registration form to enroll in the "Dark Night of the Soul" course. Your responses will help us tailor the course to meet your needs and ensure a transformative experience.
Student Name*

First NameMiddle NameLast Name
Birth Date*

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Gender*
Student E-mail*
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Main Number*
Work Number
Company (if applicable)
Are you Available for the entire 4-week duration?:*
Do you prefer in-person or online sessions?:*
Have you participated in any shadow work or personal development courses before?*

YesNo
If yes, please briefly describe your previous experiences:
What do you hope to gain from this course?:*
Are there any specific aspects of your shadow self that you'd like to explore during the course?:*
Do you have any physical or emotional considerations that we should be aware of to provide a supportive learning environment?:

Payment Options*

Dark Night of the SoulDive deeply into the mysteries of your soul with this transformative 4-week program. This course is designed for those ready to explore their inner depths with courage and curiosity.

$575.00

Non-Refundable DepositYour $250 non-refundable deposit guarantees to hold your seat and will automatically enroll you on the payment plan. Please call 678-961-8144 for more details.

$250.00

Total

$0.00

Payment Methods

Credit Card

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Cancellation Policy:

Please note that cancellations made before the course starts will be eligible for a refund minus the $250 non-refundable deposit. If you cancel more than half way through the course, refunds will not be provided.

Privacy Policy:

All information provided in this form will be kept confidential and used solely for course registration purposes.

Declaration:

By submitting this form, I confirm that all the information provided is accurate and complete to the best of my knowledge.
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Dark Night of the Soul

Registration Form

Payment Methods