VHCC Registration
Please fill out this form to enroll in Visiiion’s Healthy Communication Course.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Confirm Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 18 years old or older?
*
Yes, I’m over the age of 18.
No, I am not over the age of 18.
By registering for VHCC, you understand that you cannot share the course materials or any materials found in the course, including student names and information.
*
I agree
By registering for VHCC, you understand that you can be removed from the program if you do not adhere to the rules as set forth by VHCC, and if this occurs, you will not be refunded or extended a credit for the program.
*
I agree
By registering for VHCC, you understand that there will be no refunds for any reason.
*
I agree
What do you hope to achieve in this course?
*
Better communication skills
Overcome the fear of confrontation
Learn to masterfully set boundaries
Learn to distinguish between healthy communication versus unhealthy communication
Deliverance
Get closer to God
Conflict resolution
Other
Other (Additional Information)
VHCC Registration
*
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VHCC Registration: Early Bird Access
$
99.00
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VHCC Registration: Standard
$
199.00
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VHCC 12-Month Intensive
$
2,999.00
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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