Stop the Self-Sabotage Registration

Name *

Email *

Cell Phone *

Street Address *

City *

State *

Zip Code *

Emergency Contact (Name & Phone) *

Registering for Stop the Self-Sabotage *

April 2 – 23

Early bird Price – $299 (by 3/22)

Regular Price – $349 (after 3/22)

What are the top 3 reasons you want to participate in this course? *

Do you have experience working with Doshas, Archetypes or Core Self Energy?. Tell me all about it! *

Referred By (List only one person, please):

Payment due with registration. *

Zelle – 704-663-9550

Paypal – bit.ly/kelleypaypal (Copy and paste URL)

Venmo – @Kelley-Gardner-7