Course Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
Student E-mail
*
example@example.com
Mobile Number
*
Additional Comments
My Products
*
prev
next
( X )
Shamanic Shadow Workshop
Monthly Course. Next event: February 2025 Open to everyone
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Mens Lunar Circle
a place to experience and share spirituality, connecting with like minded men. Monthly event, Next event November 13th
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Full Moon Reiki Soundbath Harmony Glow and Tina
Monthly event, 3rd Friday of every month. Starts February 2025.
$
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
Mediumship Circle
Monthly event. NOV 30TH Next event: November
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Reiki Share
Monthly Event. The first friday of every month.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Transformative Breathwork Jenn & Ray
Saturday DECEMBER 5 at 5 pm
$
33.00
Quantity
1
2
3
4
5
6
7
8
9
10
Closing Chapters; New year
December 20th
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
Yule Gala
December 15th DRESS CODE : FORMAL, SJ social event fo the year join us for some fun. Bring a gift exchange worth less than $15 if you want to a participate in that activity, and the drinks you prefer.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Yule log workshop
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Master Reiki Course
1st class in February 2025. View schedule.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay per class/ coming class
Full course price
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Submit
Should be Empty: