Otter Dance School of Earth Medicine Scholarship and Payment Plan Application

Otter Dance School of Earth Medicine Scholarship and Payment Plan Application
Name*

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Which Otter Dance School of Earth Medicine Course are you applying for?

Shamanic Arts Immersion and Training - North CarolinaPractical Shamanism FundamentalsShamanic Arts Immersion and Training - Iceland
Please share how participating in the selected course will support you and/or your service to your community. *
Please share why financial assistance is important for you. *
Please share the TOTAL amount you can feasibly pay for the chosen course, and the currency type (If not listed in US Dollars).*
Are you interested in a monthly payment plan?*

Yes, I would like to spread my payment out.No, I would like to make a single payment.
Please provide your proposed monthly payment amount *
Is there anything else you would like to share with us in regard to your scholarship or payment plan application?
Terms of Conditions for Payment Plan and/or Scholarship

1. First payment (Deposit) is required to secure your space in the course offering and your acceptance of the payment plan/scholarship agreement.

2. If circumstances change and you are not able to meet the payment plan/scholarship agreement, contact us immediately, and we can be in conversation about it.

3. If payments have not been received according to the agreement made, and we have not been contacted by you, we reserve the right to cancel your registration with no refund of any payments made

In clicking the submit button, you are agreeing to the terms of conditions listed above.
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