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: *
-
Foundational Level: $349
Accelerated Level $495
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.