Empath Academy Registration
Questions marked by * are required.
1. First and Last Name *
2. Email: *
3. What is your Cell Phone Number (if you don't have one leave this blank. I will only text you if something important arises).
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. Did you purchase or own the Complete Empath Toolkit?
  • Yes
  • No
7. How did you FIRST hear of the Academy? *
  • Michael's Emails or Website
  • Facebook
  • Recommendation
  • Found on Google
  • Webinar
  • Other
8. If it was a recommendation, who can I thank?
9. Terms & Conditions *
  • I have read & Agree to the Academy Terms and Conditions, and I acknowledge that there are no refunds after 14 days prior to class beginning. I am 100% committed to my own success.