Children’s Class Enrollment Form – Academy of Intuition Medicine®

Children’s Intuition and Meditation Class Enrollment Form

Please note: this is a 2-page form (page 2 contains the Release and Agreement to Participate). If you wish to modify an answer on the first page, do NOT reload the page in your browser, as that will clear the contents of the form. Instead use the ‘Previous’ button at the bottom of the page.

This class takes place at the Academy of Intuition Medicine® in Sausalito, California.

Children’s Class Enrollment

Parent & Student information

First name of parent *

Last name of parent *

Email address *

Primary phone *

Name of child *

Age of child *

Name of 2nd child (sibling)

Age of child

Address *

Address

City

State/Province

Zip/Postal

Children’s Intuition and Meditation Class (Ages 5 to 10 years old)

Five-Week Course • Sundays, Feb 18 to March 17 2024 *

Children’s Intuition and Meditation Class $260

Children’s Intuition and Meditation Class (sibling 10% discount) $234

There are no prerequisites for the Children’s Class. To complete enrollment, a parent is required to read and sign the Release and Agreement to Participate (on the next page).