Monthly Human Design Exploration 2024 Registration

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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Sign me up for the Monthly Human Design Exploration cohort 2024!

Yes

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* 3. Each group session is a monthly 90-minute commitment, and the lessons will progressively build upon one another. It is expected that each participant makes every effort to attend all the sessions to maximize the benefits of the program. Can you agree to this?

Yes

No

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* 4. All participant's Human Design body graphs will be shared with the group as examples. Do you give permission to share your body graph with the group?

Yes

No

The following information is required to generate your unique body graph.

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* 5. Date of birth, including time. If you do not have access to your time of birth, please put 12:00 pm and note that this body graph has the potential to change based on the time.

Date / Time

Date

Time

AM/PM

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* 6. City and State you were born in or country of origin's equivocal.

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* 7. What are you hoping to gain from this experience?

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* 8. Is there anything I need to know that will help with your experience?

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* 9. Participation in the group requires a financial commitment. The cost is $500 per participant, which amounts to $50 per session. To secure your spot, a $250 deposit is due at the time of registration. Payment schedules can be coordinated to accommodate your needs. Additionally, there is a 10% discount available if the full amount is paid upfront.

I want to pay amount in full and get the 10% discount. - $450 USD

I want to pay the despot of $250. - $250 USD

I would like to ask about a payment schedule. - $0 USD

You will pay at the end of this survey.