Empath Academy Registration
Questions marked by * are required.
1. First and Last Name *
2. Email: *
3. Re-enter email for accuracy: *
4. What is motivating your interest in the Empath Academy? - Please share with Michael what you hope to gain and some of your experiences as an empath. *
5. Current city & state of residence *
6. How did you FIRST hear of the Academy? *
  • Michael's Emails or Website
  • Facebook
  • Recommendation
  • Found on Google
  • Other
7. OPTIONAL: Please attach a current headshot picture in which your face is visible. Michael may crop this & add to the course handout.
8. Terms & Conditions *
  • I have read & Agree to the Academy Terms and Conditions, and I ackowledge that there are no refunds once I sign up. I am 100% committed to my own success.