Personal Development Program
Registration Form

 

Thank you for choosing to register for Life School’s Odyssey program.

Please fill in the required details and click the continue button at the bottom of this page.

NB: You must agree to the Life School Policies before submitting this registration form (see Section 3).

 

1. Contact Details
Given Name (first name):
Surname (last name):
Street Address:
Suburb:
State:
Post Code :
Postal Address (if different from above):
Address:
Suburb:
State:
Post Code :
Telephone Number (home):
Telephone Number (work):
Telephone Number (mobile):
Fax Number:
Email Address:
Date of Birth: / / (day/month/year, eg 04/10/1965)
 

Select the Odyssey Program you would like to register for:

Program commencing 20/21 September 2008

 

2. Reasons for Enrolment

To help us clearly understand your needs and assess whether Odyssey is likely to be effective for you, please provide us with the information requested below.

Please briefly outline what has lead you to want to participate in the Odyssey program?

(If you don’t feel comfortable doing this, simply type “Please call me to discuss my reasons for registering for Odyssey.”)
 

Please briefly describe what you hope to gain by participating in the Odyssey program.

3 Acceptance of Life School Policies

  I acknowledge that I have completely read and understand the Life School Policies and will honour these fully.
(tick to agree)

4. Payment Plan Selected

For all payment plans, please indicate your preferred method of payment below.

Once you have nominated your preferred payment method, our Program Co-ordinator will contact you to finalise payment arrangements as needed.

The following prices include GST and you will be issued with a tax invoice upon receipt of payment, including outstanding balance if full payment has not been received.

Credit Card Payments ~

If selecting an option to pay via credit card, your credit card will be charged automatically in accordance with the conditions associated with each plan.

** Please note all credit card payments will incur an additional fee of 1.3% per payment. (Prices quoted below exclude this fee.)

 

“Early Bird” Price — total of $1,100

This price applies only if the full early bird fee is received on, or prior to, the nominated early bird date for each respective program (4 weeks prior to the first workshop of each program).

“Early Bird” Registration dates ~

—    for Odyssey program commencing September 2008:         Monday 11th August 2008.
“Early Bird” Price (Personal) — Payment by cheque
“Early Bird” Price (Personal) — Payment by credit card
 

Standard Price — total of $1,280

The Standard Price (Personal) involves payment of a 10% deposit of $128, followed by two equal instalments of $576.

The first payment is due at, or before, the start of the first workshop, and the second payment at, or before, the 15th of the month in the month after that in which the program commences (eg second instalment for program commencing on 24/25 February would be due 15th March etc.)

Standard Price (Personal) — Payment by cheque
Standard Price (Personal) — Payment by credit card
 

Partner Incentive Prices — total of $1,080

The Partner Incentive Price involves payment of a 10% deposit of $108, followed by two equal instalments of $486 for two people who choose to register at the same time. (eg two friends, husbanda and wife etc.)

The first payment is due at, or before, the start of the first workshop, and the second payment at, or before, the 15th of the month in the month after that in which the program commences (eg second instalment for program commencing on 24/25 February would be due 15th March etc.)

Partner Incentive Price (Personal) — Payment by cheque
Partner Incentive Price (Personal) — Payment by credit card

The name of my nominated ‘partner’ for the purposes of this registration:

 
 

5. Life School updates

If you would like to be included on the Life School email list to be sent alerts about various programs and resources, please indicate by ticking the box provided.