Apply

We are very pleased to be offering this opportunity to all of you who have a serious interest in possible enrollment into our program. We assume that by completing and sending this application you have the means by which to follow through on your intention to enroll if accepted.

Name *
Name
Date Of Birth *
Date Of Birth
Mobile Phone
Mobile Phone
Phone – (landline)
Phone – (landline)
Address *
Address
http://
Name of Relative and/or close friend *
Name of Relative and/or close friend
Phone number of relative and/or close friend
Phone number of relative and/or close friend
BELOW PLEASE CHOOSE THE WORKSHOP OR WORKSHOPS IN WHICH YOU HAVE AN INTEREST TO ATTEND
MAY WORKSHOPS: MAY 10 - 24
PLEASE CHECK BOX BELOW FOR WORKSHOP YOU WISH TO ATTEND
JUNE WORKSHOPS: MAY 3 1 - JUNE 14
PLEASE CHECK BOX BELOW FOR WORKSHOP YOU WISH TO ATTEND