Registration Form

Registration Type(Required)

Note the program you chose.

Your confirmation email will include additional information about the program.

Name(Required)

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Email(Required)

We never sell or share your personal data. Your personal information will be used to process your order and support your experience while using this website.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (Optional)

In this program, please realize, energy changes can be subtle, they can be something that becomes so normal, you don’t realize things have changed.

Writing out your answers, now, to the 2 questions below can help you see how you might be shifting in your life during the 13 weeks of the LEAP program:

How am I and how is life now?

(for yourself and or for your project.)

What I want to release, heal and/or enhance:

(for either yourself or your project.)

Project Title (if Registering a Project)

We keep these answers confidential. They are for your own process.

At the end of the 13 week LEAP program, we do ask you (if you wish) to talk with us about how you’re doing.

Of course, we are always open to questions between now and then. Just email us on the contact form and we’ll get in touch with you.

Important: Tell us how you heard about us.(Required)

Upload photo

A current photo of you is required to complete your registration.
(Please, have it be a photo in which you are the only one in the photo.)

If you’re registering a project, find an image that represents that project.

If you need help, email us.

Max. file size: 3 MB.

Need help? Click here to Contact Us

Coupon Code

Have a coupon? Enter the coupon code below. If you use the coupon, skip down to the Submit button.

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Credit Card

Phone

This field is for validation purposes and should be left unchanged.