Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Do you agree to abide by our Code of Conduct? *

(See Code of Conduct Below)

Yes, I agree

Qualifications *

I am able to dedicate a minimum of 2 hours per week for 8 weeks towards my spiritual growth.

I plan to attend each week.

I have access to high speed internet / able to use Zoom.