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.  whitecloudnm@aol.com    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