Code Éthique et de Conduite pour les Étudiants Tama-Do®

Signature of Agreement______________________________________________

Printed Name______________________________________DATE____________

ADDRESS _________________________________________________________________

CITY ___________________________ STATE __________________________

ZIP________________________

COUNTRY CODE ____________

COUNTRY _____________________________________

PHONE ____________________________

EMAIL ____________________________________

For Astrology:

DATE OF BIRTH _______________

PLACE OF BIRTH ____________________________

TIME OF BIRTH ________________

In case of emergency please notify the following: (include address and phone number)

__________________________________________________________________________

ADDITIONAL INFORMATION

□ I have dietary restrictions, which are:

__________________________________________________________________________________

□ I understand that the Center might be unable to fulfill my dietary restrictions
without additional payment from me.

___________________________________________________________________________________

□ Snoring: I understand that if I am a snorer, it is my responsibility to make efforts to not disturb others around me. Actions I might be required to take include but are not limited to paying for a private room, sleeping in a tent, or ensuring that my roommate is not disturbed by me.

___________________________________________________________________________________

PAYMENT for
Tama-Do Academy Level I Summer Intensive

• _____I have paid the Early bird price of 4000 euro, paid in full by cash, check or wire by Dec 31, __________. I understand the Early Bird is non refundable. Wire transfer fees must be reimbursed.
• _____I agree to pay the Normal price of 4500 euro paid in full by cash, check or wire by . Wire transfer fees must be reimbursed.
• _____I understand that all FEEs cover tuition, the Tama-Do teaching materials (workbook or handouts), food and lodging at Fafleralp. Not included is transportation to and from the center.
• _____I have made a special payment plan with the Academy. I understand that payment plans include a 10% administrative fee unless otherwise stated.
• _____I understand that my payment plan is non-cancelable and non refundable. If I do cancel my trip, I will still owe the monies as spelled out in the payment plan.
• _____I agree to the terms of my payment plan and will honor the plan.

ADDITIONAL FEES

• □ I want a PRIVATE ROOM with bath: 1200 euro additional fee.
• □ I plan on arriving one day early in Fafleralp to get over jetlag. I want to pay for one extra night at Fafleralp.
  ______ date of night

Signature of Agreement______________________________________________

Printed Name________________________________________________

DATE____________