Ascension Program: Home Study and Online Course Registration

Important, please read carefully:

The publisher and author of this program make no medical claims for its use. This material is not intended to treat, diagnose, advise about, or to cure any illness. If you need medical attention, please consult with your medical practitioner.

I have read and understood the above guidelines and conditions and by submitting this registration form I agree to the required conditions in order to be a registered participant in the Divine Mother School Of Enlightenment Ascension Program.

Upon completion of registration you will receive a student user name and password to access the Student Portal. For your convenience you can pay online with paypal below. Shipping and handling for home correspondence not included.

First Name:: *

Last Name:: *

Street Address::

Optional mail may be sent

State/Province::

Country:

Telephone Number::

Best telephone number to contact you if necessary

Best time to contact you:: *

E-mail address:: *

This is where your lessons will be sent.

What are you hoping to gain from this program?:

We ask participants to fill out this section as a means of creating intent for this program.

Are there any challenges that you are seeking to overcome at this time?:

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What is the second word in the phrase "sigikay iwiw ulig ezosu gahi"?: *

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