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Step 1 of 3

About
The Couples Course is for couples (married or not) who are committed to each other and to the growth of their relationship.
Registering for the following session:*
Tuition

All prices listed are in USD.

Tuition Details:
The price for Couples includes tuition for the course, lodging, and meals for the couple. The Basic / Couples package includes the price for both classes as well as food and lodging for the Couples class. Meals and lodging for Basic are paid for by participant. This is a paid in full package price.
Non-Refundable Registration Fee:
A non-refundable, non-transferable $200 deposit or payment in full must accompany this application. If you have not paid in full you will be put on a payment plan with automatic monthly payments, the balance of the tuition will be paid 2 weeks prior to the course.
Tuition Option*

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Personal #1
Student Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone*
Cell Phone*
Email*
Sex*
Birthdate*
Why do you want to attend the Couples Course?*
Personal #2
Student Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone*
Cell Phone*
Email*
Sex*
Birthdate*

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Payment Information
Credit Card Charges*
- By posting this electronic form with the following credit card information, I authorize Paige, Martin & Associates, Inc. to charge my credit card account.
Credit Card Number*
Cardholder Name*
Credit Card Expiration Date*
CVV Code*
Card Holder Zip Code*
Terms and Conditions*
Please read carefully and check each box of the agreement.
- By checking this box, I agree that my remaining balance will be charged to my credit card two weeks before the first day of my course, unless I call the office to arrange another payment plan.
- I understand that if my balance is not paid in full by two weeks before the first day of my course, I will lose any discount I may have received.
- I understand that if I am submitting this application less than two weeks before the first day of the course, I am not eligible for a discount.
By filling in my name and date below, I acknowledge that I have read, understand and agree to all of the above terms and conditions.
Name*
Date*
Date Format: MM slash DD slash YYYY
Refund Policy
Upon acceptance into the Pathways Couples Course, it is my understanding that there will be no refund of any part of my tuition. If you choose to change the date from the one you have originally scheduled there will be a $200 transfer fee.
I acknowledge that I have read, understand and agree to all of the above terms and conditions of the Refund Policy.
Name*
Date*
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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Name*
First Last
Email*
Phone*
Business Name*
Business Industry*
Subject*
How did you hear about us?*
Message*
Email
This field is for validation purposes and should be left unchanged.

Enroll Now

Ready to create a more enriched, fulfilled and courageous life?

Find the course you are looking for below and fill out the application to reserve your seat!

Step 1 of 6

Classroom Tuition

Packages:

Virtual Tuition

Personal Details

Business Details

Family Details

Who shared the course with you? (Sponsor)

Emergency Contacts

Repeating Students Only

For Minor's Guardian Only

Minor Guardian Waiver

Payment Information

Terms & Conditions

Refund Policy

Medical and Psychological Information

Step 1 of 5

Personal Details

Business Details

Family Details

Who shared the course with you? (Sponsor)

Emergency Contacts

Repeating Students Only

Fore Minor's Guardian Only

Minor Guardian Waiver

Tuition

Advanced Tuition

Non-Refundable Registration Fee:

Payment Information

By filling in my name and date below, I acknowledge that I have read, understand and agree to all of the above terms and conditions.

Refund Policy

I acknowledge that I have read, understand and agree to all of the above terms and conditions of the Refund Policy.

Medical and Psychological Information.

Step 1 of 6

Tuition

Leadership Course Tuition:

Non-Refundable Registration Fee:

Personal Details

Business Details

Family Details

Who shared the course with you? (Sponsor)

Repeating Students Only:

Emergency Contacts

Payment Information

By filling in my name and date below, I acknowledge that I have read, understand and agree to all of the above terms and conditions.

Refund Policy

I acknowledge that I have read, understand and agree to all of the above terms and conditions of the Refund Policy.

Medical and Psychological Information.

Step 1 of 3

About

Tuition

Tuition Details:

Non-Refundable Registration Fee:

Personal #1

Personal #2

Payment Information

By filling in my name and date below, I acknowledge that I have read, understand and agree to all of the above terms and conditions.

Refund Policy

I acknowledge that I have read, understand and agree to all of the above terms and conditions of the Refund Policy.

We customize every corporate experience to meet your organization’s needs. Contact us for a consultation: