PRVM: Private Training Registration

Date

Month Day Year

Name *

First Name Last Name

Age

Mobile *

Area Code Phone Number

Other *

Area Code Phone Number

Profession *

Church *

E-mail *

Training Level. *

Basic (no previous training) Intermediate (completed Basic) Advanced (completed Intermediate) Crowning Touch (completed Advanced) Advanced CT (completed Crowning Touch) Master CT (completed Advanced CT)

Preferred Appointment time:

*NB: Appointments are subject to availability.

How do you want this course to benefit you?

Disabilities/Allergies

How did you hear about PRVM?

Word of mouth Google Facebook Other Social Media (please specify) Other Internet Source (please specify)

Applicable Costs:

Registration: $125.00

Uniform Polo: $125.00

Training Manual- Basic: $150.00 Intermediate: $200.00

Tuition: $250.00/hour

NB: This area must be completed by persons 18 years or older

Person responsible for payment *

Self Parent Church Other (please specify)

Name of Person/Institute *

Please read the following Contractual Agreement carefully:

1) Sessions must be paid for before each class or at the beginning of the month.

2) Any cancellations by students must be made 24 hours in advanced otherwise, students will be held liable for the cost of the session.

3) Any additional sessions, make-up classes etc required will be at the cost of the student so long as there is no cancellation of classes by PRVM.

4) Sponsoring churches/institutions are required to make full payment at the start of the program

5) This contract shall be between Pinnacle of Rubies Vocal Ministry & the person named below

6) ALL fees are non refundable & non-transferable.

I agree that the information provided above is true & correct and I accept full responsibility for all fees as described by representatives of Pinnacle of Rubies Vocal Ministry.

Name *

First Name Last Name

Date

Month Day Year