Registration

Invest in Your Self....

REGISTRATION

Space is limited for each PTI and discounts are available for early registration!

2012 & 2013 Dates are being booked NOW!

Tuition can be made in payments and insurance plans may cover all or part of the tuition.

SIGN UP TODAY
and don't miss this opportunity to truly change your life!

2012 SCHEDULED DATES:

Ft. Lauderdale, FLORIDA

Jan. 27-29
Feb. 24-26
March 16-18
May 4-6
June 1-3

MISSISSIPPI

June 15-17
July 20-22
Aug. 10-12
Sept. 14-16
Oct. 5-7

Please note these dates are subject to change up to 3 months prior to start date.

Information & Investment

IF YOU HAVE ALREADY BEEN APPROVED FOR PTI AND WOULD LIKE TO REGISTER OR MAKE A PAYMENT TOWARD YOUR PTI
PLEASE CLICK HERE

You can register for the PTI by filling out the information below.

Please let us know if you are registering for the Mississippi or Florida PTI! Dates are listed to the RIGHT.

Congratulations on beginning your journey to TRANSFORMATION!

PTI Registration Form

Please note, this registration is not a guarantee of enrollment. Therapist must approve applicants. You may be asked to schedule an intake session with the therapist to discuss your enrollment, your goals, and your needs. Please tell us who referred you and your reasons for wanting to join a PTI. We look forward to being on this healing journey with you!

First Name:

Last Name:

Address Street 1:

Address Street 2:

City:

Zip Code: (5 digits)

State:

Daytime Phone:

Evening Phone:

Email:

Please Select One: Mississippi PTI Florida PTI

Who Referred You: :

Reason for Joining PTI::

Comments: Enter comments here!

INVESTMENT AND PAYMENT

The cost of PTI Tuition varies based on the location. We host retreat weekends in both Mississippi and Florida. Room and Board are not included in Tuition payments. Insurance will not pay for the cost of Room and Board.

Insurance can cover all or part of the cost for PTI. You can talk with the therapist about how much your insurance will cover. Please note that our estimate is not a guarantee of payment by insurance. You are responsible for copayment, deductibles, and any part not covered by your insurance.

Congratulations on your decision for
PERSONAL TRANSFORMATION!