Program Registration

Spiritual Spa Days

Finding Your Place at the Intersection
of Spirituality and Social Justice

with Ragen Johnson and Charles Robinson

October 19, 2020

Our three-hour, Spiritual Spa Day programs are now offered on-line through Zoom

Spiritual Spa Days: Spirituality and Social Justice

Contact Information

Full Name *

Email Address *

Phone Number *

Address *

Address

City

State/Province

Zip/Postal

Waiver

Please review and sign the following waiver:

Any and all aspects of this mentoring are undertaken voluntarily on your part. This mentoring is not meant as therapy or as a replacement for any other professional service that you would engage for your physical or mental health. The waiver is your acknowledgement that the Personal Transformation and Courage Institute is released from any liability related to your participation in this mentoring. The undersigned knowingly releases and holds harmless the Personal Transformation and Courage Institute and its agents from any and all claims, suits, proceedings, costs, losses, expenses, damages, and liabilities, including but not limited to attorney’s fees and court costs, caused by and arising out of, or in connection with his/her participating in this mentoring.

E-Signature *

Payment

Tuition is on a sliding scale starting from our normal $49 down to as little as $10. Each participant is asked to decide what one's personal financial situation at this time allows. Our intention is to make this program widely available to all who would like to be involved, while at the same time maintaining PTCI's own financial balance. Please choose the tuition amount that is possible for you.

Payment Amount *

Payment Type

Please indicate how you will be paying for this course:

PayPal / Credit Card

Check

To pay via PayPal account or credit card select this option and then click the "REGISTER" button below and complete the payment process on PayPal's secure website. Select the "Pay with Debit or Credit Card" option on the first page to use your card and proceed without creating a PayPal account.

Please make your check payable to the Personal Transformation and Courage Institute.
Please use check's memo line to indicate which course you are paying for.

Mail check to:
PTCI
P.O.Box 914
Virginia Beach, VA 23451