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? - In one paragraph, please share with Michael what you hope to gain. *
5. Choose Your Level of Participation: *
6. ACCELERATED ONLY: Michael will compile a brief astrological profile for the course handout. Please list your day and year of birth. (Along with your sun, moon, and rising signs if you know them):
7. Current city & state of residence *
8. ACCELERATED LEVEL ONLY: Please attach a current headshot picture in which your face is visible. Michael will crop this & add to the course handout.
9. Terms & Conditions *
  • I have read & Agree to the Academy Terms and Conditions.