PRVM: Private Training Registration

PRVM: Private Training Registration
Date

MonthDayYear
Name*

First NameLast Name
Age
Mobile *

Area CodePhone Number
Other*

Area CodePhone 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 mouthGoogleFacebookOther 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*

SelfParentChurchOther (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 NameLast Name
Date

MonthDayYear
Should be Empty: