Register

Click here to download a registration form, or use the online form below.

Please fill out the form below to start your registration process. Once we’ve received your information, we will call you to finalize your registration and tuition. These calls are made between 9-5 pm M-F.

First Name *
Last Name *
Address *
Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone *
Which number is this? *
Cell Work Home
When is the best time to call? *
Email *
Occupation *
Employer *
Birth Date: *
Referred by: *

Have you attended a guest event? *
Yes No
Money Back Guarantee:We at New ERA have confidence in the value of our courses. The more you participate in the workshop, the more valuable your experience. Once you've started the workshop, you are eligible for a refund (minus the non-refundable processing fee) only upon completion of the Explore. Then, if you are not satisfied with your experience, your written request must be postmarked, or in the hands of a center staff member, within 24 hours of completing the workshop. Refunds requested before the course has started are also subject to a processing fee.
Which course are you registering for? *
Explore - $500 Realize - $1150 Explore & Realize - $1350 (Save $300!!)
Which class will you be attending? *List only the first date of the class.
(ie: if your class is from October 25th - 29th 2003, simply enter 10/25/2003)

Acknowledgement & AgreementBy clicking the SUBMIT button below I acknowledge that I have read and understand the Money Back Guarantee policy and agree to attend the courses I've selected.

Please enter any two digits with no spaces (Example: 12 or 97)We use this to validate that you are human and not an automated program.
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