Be in Health™ For My Life™ Registration
Registration policies are provided for your information. Be in Health™ reserves the right to change or modify these policies and prices without notice as necessary
An offer for Free Tuition is available.
For details please Click Here!

IMPORTANT: To take advantage of this offer, the 7000 Project subscription must be activated PRIOR to the beginning of the week you will attend the program

Select program week you wish to attend:

Will you be flying to the class?
 Yes    No
PLEASE do not make any final reservations until you have heard back from Scheduling & Registration after submitting this registration.

If flying, will you need a shuttle from/to the airport?
 Yes    No
 
Gender Male    Female 
First Name
Last Name
Email Address
Phone Number
Address
City
State
ZIP Code
Other State
Country
Marital Status
Date of Birth
Occupation


Medications You Are Currently Taking


Please list any diagnoses from a Physician


Have you been hospitalized in the last 2 years and why?


Do you have any contagious disease?


Are You Pregnant; How Far Along?
Yes    No      


Accommodations of choice (if applicable)
(See this page for a list of dwelling accommodations offered)


Have You Attended a For My Life Program; when?
Yes    No      


How did you hear about us? (Book, Tapes, Seminars, etc.)
Have you read A More Excellent Way?   Yes     No


If you have not read A More Excellent Way, we suggest you read it before you come. (Click here for our Bookstore) Please bring your book to class.

Issues that you would like to deal with during FOR MY LIFE™ Ministry Program (Body, soul, or spiritual issues):

Issue 1:
Issue 2:
Issue 3:
Issue 4:
Any other comments:
IMPORTANT! YOUR REGISTRATION IS NOT FINAL YET!

After you submit your registration request, you will receive a follow-up call from a Scheduling & Registration staff member to confirm details of your registration.

This call should happen within 2-4 business days if it is for the next program, and 10-14 days for a class that is further out.

Thank you for your patience.

Please do not make irreversible arrangements, such as non-refundable flight bookings, until you have received a follow-up call and finalized your registration.

After you click the Submit button below, you will be shown a copy of what you filled out. We encourage you to print a copy of that page and bring it with you when you attend the class.

   

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