Seminar Registration

Please complete the form below to register for a seminar. Seminar registration confirmations and payment receipts are sent by email. Please be sure to add the thetainstitute.com (and paypal.com, if you plan to pay by credit card) to your email program's "safe sender list" so that these emails will not be mistakenly filtered.

When you have completed the form and clicked the "Register" button, you will be taken to a secure PayPal payment page to allow you to pay the $150.00 nonrefundable seminar deposit to confirm your registration. PayPal accepts Visa, MasterCard, Discover, and American Express.

Items with an asterisk (*) are required to be completed.

*First Name:
*Last Name:
*E-Mail Address:	Note: we will never share your email address or other information with anyone for any reason.
*Phone:	ex: 111-333-9999
Cell Phone:
*Address:
*City:
*State/Province:
*Zip/Postal Code
*Country:
*Seminar Choice:	Basic ThetaHealing™ (09/05 - 09/07/08) Depth Healing Intensive (10/04 - 10/05/08) Advanced ThetaHealing™ (10/24 - 10/26/08)
Profession:
(Next step: Registration payment & confirmation)