Teens Intuition 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.

Teens Intuition Class Enrollment

Parent & Student information

Address *

Teens Intuition Class (Ages 11 to 16 years old)

Six-Week Course • Sundays, February 18 to March 17 2024

To complete enrollment, a parent is required to read and sign the Release and Agreement to Participate (on the next page).

*All tuition includes small PayPal transaction fee • Hybrid means that the student will attend a combination of ‘In-Person’ and ‘Zoom’ for this course.