Moment of Death Training Weekend

Copy & print this form

Please register prior to  November 1st to

Ensure your Enrollment as Space is Limited

 

Name____________________________________________________

Address __________________________________________________

City, State ________________________________________________

Zip Code__________________________________________________

Telephone/Email__________________________________________

I have read and understood the Cancellation Policy and the Disclaimer of Responsibility below.

Signature_________________________________________________

Enclosed is my check for $275 payable to CLS

Please mail to:

The Clear Light Society

46 Churchill Rd

Wethersfield, CT 06109

Cancellation of Registration: There will be no refunds for cancellations made by registrants. We reserve the right to cancel training on 14 days notice due to low attendance.

Disclaimer of Responsibility: By registering for this program the seminar member specifically waives any and all claims of action against Patricia Shelton, Melissa Lewis, & staff for damages, loss, injury, accident, or death due to negligence on the part of any organization or employee providing services included in this seminar. organization or employee providing services included in this seminar