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PSI Life Success Course Registration USA

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PSI VII Life Success Course*

Attendee Information

Name*

Diploma Name

Address*

Email*

Mobile Phone*

Best Way to Contact Me:

Phone

Text Message

Other

Other Way to Contact Me

I consent to receive communications from PSI Seminars:*

May include phone, email, or social media.

Yes

Gender*

Preferred Gender Pronoun

He/Him/His

She/Her/Hers

They/Them/Theirs

Other

Are you pregnant?*

Yes

Date of Birth*

You must be over 18 to be eligible to attend the PSI Basic Seminar. Teens ages 13-17 are only eligible to attend if both parents or legal guardians are graduates of the PSI Basic Seminar.

Marital Status*

Number of Children*

Children's Ages

Level of Education*

Occupation*

Employer*

Where did you attend the PSI Basic?*

Date Attended PSI Basic*

Who referred you to the PSI Basic?*

Where did they attend the PSI Basic?*

What do you want to accomplish by participating in this course?*

Confidential Health Questionnaire

Do you have any history of psychiatric disorder?*

Yes

Have you been institutionalized for mental illness within the last twelve months?*

Yes

Have you undergone treatment by a psychiatrist or psychologist in the last 6 months?*

Yes

Please explain any of the above marked "yes"*

PSI VII The Life Success Course is based on an educational model, not a medical model. If you have any history of psychiatric disorder, or have been institutionalized for mental illness within the last twelve months, or have been undergoing treatment by a psychiatrist or psychologist within the last six months, it is the policy of PSI Seminars that you do NOT attend the Life Success Course.

PSI VII Life Success Course Terms and Conditions

TERMS AND CONDITIONS*

Class size is limited, and payment in full does not guarantee a seat in the class. If the class is at capacity you will be placed on a waitlist. Once your registration is complete a representative will contact you to confirm your status.

PSI VII The Life Success Course is based on an educational model, not a medical model. If you have any history of psychiatric disorder, or have been institutionalized for mental illness within the last twelve months, or have been undergoing treatment by a psychiatrist or psychologist within the last six months, it is the policy of PSI Seminars that you do NOT attend the Life Success Course.

I have read, understand, and agree to the Terms and Conditions.

ARBITRATION CLAUSE*

If a dispute arises out of or relates to this contract, or the breach thereof, and if said dispute cannot be settled through direct discussion, the parties agree at first endeavor to settle the dispute in an amicable manner by mediation administered by the American Arbitration Association under its Commercial Mediation Rules, before resorting to arbitration. Thereafter, any unresolved controversy or claim arising out of or relating to this contract, or breach thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules, and judgement upon the reward rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof.

I have read, understand, and agree to the Arbitration Clause.

PSI ADVANCED SEMINAR TUITION POLICY*

I understand that payment for any PSI Advanced Course is non-refundable/non-transferable. All monies held must be utilized within 12 months from the date of the initial payment or it is forfeited. If I choose to attend a date other than the seminar I am registered for and have not notified the Main Office in writing prior to 30 days before the start of the seminar, I understand that I am subject to an administrative fee of $1000.

I have read, understand, and agree to the Tuition Policy.

HAWAII WAIVER*

The law in Hawaii is drafted to protect those who deposit money to attend a sensitivity awareness group seminar by granting the student the right to cancel the course before the first day of the course and obtain a refund of sums paid less $50. We have the obligation to disclose this right to you.

However, PSI Seminars limits its enrollment positions for the class. Once the class is full, expenses for providing the course become part of the overall budget for the presentation of the class, including but not limited to, transportation and lodging of the students, food
preparation and presentation, materials, supplies, and all other related costs which are fixed. Unfortunately, if any student should request and demand a refund, the financial
domino effect upon those who do attend will be felt. The costs of the course are kept at a minimum to make it accessible to as many as possible.

In order to be fair, PSI Seminars requests those who are residents of Hawaii to waive the protections otherwise provided under law, and accept that the commitment to attend the seminar will be relied upon by others financially, and that the enrollment fee is part of the fixed cost of presenting the seminar for all members. By registering below the student waives the refund rights accorded by the laws of the State of Hawaii.

I waive my entitlement to a refund under Hawaii law.

Attendee Signature*

I have answered all questions truthfully, and I have read, understand and agree to all policies and clauses contained within.

Payment Details

PSI VII Life Success Course USA*

PSI VII Life Success Course

PSI VII and LS Package (Save $2,350)

PSI VII/ LS/Next Package (Save $3,550)

PSI VII Life Success Course USA - Hawaii*

PSI VII Life Success Course

PSI VII and LS Package (Save $2,350)

PSI VII/ LS/Next Package (Save $2,350)

Registration Code

Be sure to click "Apply" after entering your code!

Total

PSI VII Life Success Course Deposit*

Choose your payment plan:

$1150 Today plus 3 Payments of $1000

$1150 Today plus 6 Payments of $500

Which day of the month do you want your payments scheduled for?*

10th

25th

Cardholder Name*

Credit Card*

Stretch beyond what you believe are your limits. Reaffirm your authentic path in life, and re-establish trust in your ability to accomplish whatever you set your heart and mind to.

The most direct and hyper-effective way to break sabotaging patterns, blow past your limitations, skyrocket your self-esteem and create lasting transformation in your life!
Get ushered past the velvet rope of mediocrity into a world of abundance and experience the life-changing transformation that more than 35,000 individuals have already experienced.
Identify your negative thought processes – What are they, where they came from, and how they became a part of your reality…so you understand the process and don’t ever let it happen again.
Discover how to overwrite those negative thought processes – Replace those old and negative paradigms with the new beliefs and patterns that serve you and take you closer to manifesting your dream life.
Create a new way of thinking – Solidify your new belief system with new thinking patterns and exercise those patterns on a daily basis so they take ‘root’ and you don’t revert to your old way of thinking.

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Registration

PSI Life Success Course Registration USA

Attendee Information

Confidential Health Questionnaire

PSI VII Life Success Course Terms and Conditions

Payment Details

Privacy

Security

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