Our agreement.

In registering for this class you agree that you have not been sick in the past 2 weeks, or been in contact with anyone who is sick. 

If you have any of these symptoms please contact us.

• Cough

• Fever

• Shortness of breath, difficulty breathing

  Skin Rash

• Muscle aches

• Sore throat

• A general feeling of being unwell

* Loss of taste or smell

Please call or email if you would like more information about classes or products.  [email protected]    505 670-3538

CUT AND PASTE THIS FORM INTO AN EMAIL, PLEASE

You will be contacted by phone, and email when this form is received

Course Registration Form

Name:

Mailing Address:

Phone Number:

Work Phone: Cell Phone:

E-mail Address:

Name of Class:

Date(s) of Class:

Form of Payment:

Credit Card Number:

Expiration Date                           3 digit code on back of card

Have You Taken A Class With us Before?

If so, what class?

White Cloud Institute, PO Box 31996 Bellingham, WA 98228

In order to guarantee your space in class a $75 non refundable deposit is due when you register.

Full tuition is due 2 weeks prior to class. No refunds once a class begins