R E G I S T R A T I O N


Sonic Geometry presents:

"Unlocking ancient frequency codes in bimini"

J U N E  1 3 - J U N E   1 9 ,  2 0 1 6

 

STEP ONE:
COMPLETE REGISTRATION FORM

STEP TWO:
FINALIZE PAYMENT VIA
PAYPAL OR CHECK

Feel free to contact ELIZABETH BELL for information about payment installments and flexible credit line options with Paypal.

 

ALL FIELDS REQUIRED

Name *
Name
Birthdate *
Birthdate
Passport Expiration Date *
Passport Expiration Date
Mailing Address *
Mailing Address
Phone *
Phone
Emergency Contact Number
Emergency Contact Number
Do you have any food allergies or food restrictions (GF, No Sugar, Vegan, Vegetarian,etc)? If not, state 'None'. If so, please list below.
Do you have a medical condition(s) and/or are you currently taking medication? If not, state 'None'. If so, please list below.