Mindfulness & Psychotherapy Registration

Please complete this Registration form:

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
How did you hear about us?*
How should we contact you?*
- Email
- Phone
Course Start Date & Location*
Mindfulness & Psychotherapy Course Fee
Price:
Terms & Conditions: No refunds once class starts. Full refund up until 14 days before course begins (minus 25.00 processing fee). If you cancel after the 14 days but before class, there is a $100.00 fee.*
- Yes, I agree to the Terms & Conditions
- I want to stay connected and be notified of new courses and opportunities. Sign me up for your email list
Total
$0.00
Once AMI receives course payment, participant will receive an email that includes a password to class resources. There will be three documents that the participant will need to download and return to AMI prior to the first class
CAPTCHA

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