PSI 7- LIFE SUCCESS COURSE TERMS AND CONDITIONS

Confidential Health Questionnaire

The following questions are mandatory in order to process your application for attendance of PSI 7 – The LifeSuccess Course.

Please review the questions below:

1. Have you any history of psychiatric disorder?

2. Have you been institutionalized for mental illnesswithin the last twelve months?

3. Are you now, or have you been within the last six months,

undergoing treatment by a psychiatrist or psychologist?

4. If female, are you pregnant?

PSI 7 – The Life Success Course is based on an educational model, not a medical model. If you have answered yes to any of the above questions, it is the policy of PSI Seminars that you do NOT attend PSI 7 – The Life Success Course. If you have any questions please contact your BasicCity.

Tuition Policy

I understand that my tuition is non-refundable/non-transferable. All monies held must be utilized within 12 months from the date of the initial payment or it is forfeited.If I choose to attend a date other than the seminar I registered for and have not notified the Main Office in writing within 14 days prior to the start of the seminar, I understand that I am subject to an administrative fee of $300.

State of Hawaii- I have read and agree that my registration online constitutes a waiver of my entitlement to a refund under Hawaii law. Please print a copy for your records.

Arbitration Clause

If a dispute arises out of or relates to this contract, or the breach thereof, and if said

dispute cannot be settledthrough directdiscussion, the parties agree at first to endeavor

to settle the dispute in an amicable manner bymediation administered by the American

Arbitration Association under its Commercial Mediation Rules, before resorting to

arbitration. Thereafter, anyunresolved controversy or claim arising out of or relating to

this contract,or breach thereof, shall be settled by arbitrationadministered by the

American Arbitration Association inaccordance with its Commercial Arbitration rules,

and judgment upon the reward rendered by the arbitrator(s) may be entered in any court

having jurisdiction thereof.

I agree that by checking the box below, I understand that this is the equivalent to my electronic signature, and that I have answered all questions truthfully, also that I have

read, understand, and agree to all policies and clauses contained within. To register

online, you must click the “I agree” button below. Please print a copy of this agreement

for your records.