Programs Pre-Registration Form

Congratulations on your decision to enroll yourself or your child in one of our life-affirming programs! 

Here are the steps in our pre-registration process:

1.  Fill out then submit the pre-registration form below.

2. Upon receipt of completed pre-registration form, we will email you to confirm your spot is reserved. Next we will email you a complete registration packet along with payment options. Please complete and return this packet to us at least 1-week before the program start date. Your remaining balance will also due at this time.

3. Submit a deposit (or financial aid request). Deposit amounts are listed on each program page. Note that deposits are nonrefundable. Payments can be made by credit card online (preferred) or over the phone at (678) 480 - 8780. 

Name *
Name
I identify my gender as *
Birth Date *
Birth Date
Please select the program that you are participating in
Phone Number
Phone Number
Please note that we must receive a deposit and application to reserve a spot in the program.