NOTE: Please do not include cabin request on the Registration Form.
Institute Cabin reservations must be made by calling the Education Office only:
(760) 745-9096
Name: ______________________________________________Phone: __________________
Address: ____________________________________________________________________
City/State: _________________________________________________Zip: ______________
Email Address: _______________________________________________________________
Track I - Session 1 ___________________________________________________________
Session 2 ___________________________________________________________________
Session 3 ___________________________________________________________________
Session 4 ___________________________________________________________________
Session 5 ___________________________________________________________________
Track II ____________________________________________________________________
Track III ___________________________________________________________________
Registration Information and Fees:
Tuition:
$50.00 per class
3 classes for $125.00
4 classes for $150.00
5 classes for $175.00
6 classes for $200.00
7 classes for $225.00
Number of Classes________ Registration Fee____________ Tuition Total _______________
Payment: Check___ Credit Card___ Money Order___ Cash___ (not if registering by mail)
Credit Card Number _______________________________ expiration date _______
Name of card holder _____________________________
Visa___ Master Card ___ Discover___
Signature ___________________________________________________________
Emergency Phone Contact ______________________________________________
Registration Information and Fees
Early Registration is until July 11th. A $10.00 late registration fee is charged for registering after July 11, 2010.
To register in person or for additional information, the Education Office will be open Sunday afternoons
(until 2:00 pm) July 4, 2010 and July 11, 2010. Partial refunds are available before July 11, 2010 minus a
$10.00 processing fee for cancellation but no refunds after that date.
Payment must be included with application to complete registration.
When registering by mail you may print this form and send to HGSA
Attention: INSTITUTE REGISTRATION.
Harmony Grove Spiritualist Association
2975 Washington Circle
Escondido, CA 92029
(760) 745-9176 ~ Fax (760) 745-3482