Please complete the form below, then submit your tuition payment.

  1. I understand that I will have eighteen (18) calendar months to complete the Neophyte Training Course. If I have not completed the course at the end of this period, I will be dropped from the course with no refund of fees paid.

  2. I understand that I must be in communication with my mentor at least twice per month as a condition of continued enrollment.

  3. I understand that I may terminate my participation in this course by written communication to my mentor.

PRIVACY NOTICE AND CONFIDENTIALITY: All personal information will be held in strictest confidence and will not be released outside of the Sacred Well Congregation without your expressed written consent. Demographic information will be used for administrative and statistical purposes only and will not be released outside the Congregation in any form that would identify you as an individual.

Items marked with an asterisk (*) are Manditory.

Neophyte Course Registration Form
*First Name:
Middle Initial:
*Last Name:
*Address:
Address 2:
*City:
*State:
*Zip:
Country:
Home Telephone:
*E-Mail:
URL:
Name of Roedi/DTP Mentor:
Comments:
Upon clicking the "submit" button, you will be redirected to our tuition payment page.