Application Procedure
____ Privacy Statement: 
The Earth-Heart Institute of Vision and Healing respects your privacy. Mailing addresses and email addresses shared with us are never shared with or sold to any other organization or person(s). They are for the exclusive use of Earth-Heart.

All information that you include in your medical and personal information forms is private and never shared outside of Earth-Heart, to the full extent of the law. Information requested is to provide us with a base of knowledge to help guide you to the most appropriate program for your needs, and to keep you safe and healthy within all of our programs.
Earth-Heart - Black eyed Susan
To apply for any Earth-Heart program and to assure a spot in the class, please send in the following:

1.  Application Form:

 

Print the following page:
OPENS A NEW WINDOW
~ APPLICATION FORM
~

Online- Web

 

 

2.  Deposit:

 

$300 non-refundable deposit (if you have not already paid online)
(The rest of the balance will be due PRIOR to your arrival at the class).

3.  Letter:

 

A brief letter about yourself and your reasons for wanting to attend
(we need this from all students for each class, no matter how well we know you)

4.  Medical Form:

 

Print the following form:
*We need a new form filled out each new calendar year.

OPENS A NEW WINDOW
~ MEDICAL FORM
~

Online- Web

 

 

5.  Recent Photo: 

 

A recent head and shoulders photo of yourself.
(The photo and 
letter are about gathering the energy around the specific group that will be coming to each program).

Cancellation Policy: 
If you cancel your reservation in a program you have applied for at least 2 weeks before the start of the class, of the $300 nonrefundable deposit, Earth-Heart allows $150 to be transferred (one time only) to any other Earth-Heart program within 12 months of the original class application. If you do not notify Earth-Heart of your cancellation at least two weeks before the start of the class, none of the deposit is transferable.
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