To
register your intention to participate in the NEST program,
please fill all fields then click the SUBMIT button.
I choose to participate in the following NEST program (choose one):
Training
Series:
Email Address:
Name:
Address:
City:
State:
Zip:
Country:
Phone:
Date of Birth:
Time of Birth:
Place of Birth:
Please state in this box what impels you to commit to this NEST program:
What can you bring to the NEST program (skills, capabilities, etc) that will contribute to the benefit of all involved in this
program?
I have read all pertaining information offered regarding participation in the NEST program and accept personal responsibility in bringing a positive attitude and sincere dedication in my participation. I further agree to attend all agreed upon Terms/Trainings, and to actively and faithfully engage in all assignments and studies given as a part of the NEST curriculum, unless prior provision for excusing participation has been made with NEST. I accept full responsibility for my own mental, emotional, physical and moral behavior and conditions at all times while engaged in the NEST program. Failure to comply with these above conditions constitutes an abrogation of this contract and dismissal from NEST.
(check box)
I agree
to make all payments in advance (unless other arrangements
have been made and affirmed in writing/email), and that I am
legally responsible to complete all agreed payments
regardless of my choice to complete the Term/Training I
signed up for. I understand that no refunds are given nor
implied. (check
box)
My electronic signature,
below, is a legal signature:
Signed:
Date:
Payments may be made,
and are preferred, with Paypal,
a secure online payment system. You may also send a
cashier's check (please, no personal checks!) made out to:
Jade Wah'oo Grigori
PO Box 4448
Sedona, Arizona 86340 USA
Submit
form first, then payment.
Payments:
Online payments using your major credit card or PayPal account!
