Application for Living From the Heart

25%

Please check the circle next to the location for which you are interested in applying.*
- Alberta - King's Fold and FCJ Centre, Calgary
- BC - Intensive Format - Rivendell Retreat Centre on Bowen Island
- BC - Weekend/Saturday Format - Abbotsford
Personal Information
First Name*
Last Name*
Address*
Address 2 (if needed)
City*
Province / State*
Postal Code / ZIP*
Country*
Phone (home)*
Phone (mobile)
Email*
In the event that you are received into this program, you agree to share your contact information with the cohort.*
- I Agree
In the event that you are received into this program, do you have any life threatening food allergies?*
- Yes
- No
Please note your life threatening food allergies

Not finished? Save and Continue Later

Not finished? Save and Continue Later

Not finished? Save and Continue Later

How did you hear about us?*
Register with Paypal
Non-refundable application fee*
Price: $ 75.00 CAD
After completing all required portions of this form, and uploading your 1-2 page spiritual journey document, click the "Register and Pay with Paypal" button and you will be re-directed to Paypal for payment options. If you do not have a PayPal account, you will have the option to use a credit card.
Email
This field is for validation purposes and should be left unchanged.

Not finished? Save and Continue Later

Personal Information