Registration

PSI Basic Seminar Audit Application

Where do you want to audit the PSI Basic Seminar?(Required)

Select your exact date and location to audit the PSI Basic Seminar(Required)

Which days of the Basic do you plan to attend?(Required)

Check all that apply. (Some locations may have an alternate schedule.)

Day 1 - Friday

Day 2 - Saturday

Day 3 - Sunday

Contact Information

Name(Required)

Address(Required)

Email(Required)

Mobile Phone(Required)

Best Way to Contact Me:

Phone

Text

Other

Other Way to Contact Me

I consent to receive communications from PSI Seminars:(Required)

May include phone, email, or social media.

Yes

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Date of Birth(Required)

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Gender(Required)

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Preferred Gender Pronoun

He/Him/His

She/Her/Hers

They/Them/Theirs

Other

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Are you pregnant?(Required)

Yes

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Marital Status(Required)

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Number of Children(Required)

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Children's Ages

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Level of Education(Required)

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Occupation(Required)

Where did you attend the Basic?(Required)

Date Attended Basic(Required)

Date Attended PSI VII

Date Attended Leadership Seminar

Date Attended PLD Pacesetters Leadership Dynamics

Date Attended Principia/Summit/Level Up/Next-10

What specific goal or objective do you want to gain from auditing?(Required)

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Confidential Health Questionnaire

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Do you have any history of psychiatric disorder?(Required)

Yes

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Have you been institutionalized for mental illness within the last twelve months?(Required)

Yes

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Have you undergone treatment by a psychiatrist or psychologist in the last 6 months?(Required)

Yes

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Do you have any history of psychiatric disorder, been institutionalized for mental illness within the last 12 months, or undergone treatment by a psychiatrist or psychologist in the last 6 months?(Required)

Yes

Hidden

Please explain any of the above marked "yes"(Required)

PSI Seminars are based on an educational model, not a medical model. If you have any history of psychiatric disorder, or have been institutionalized for mental illness within the last twelve months, or have been undergoing treatment by a psychiatrist or psychologist within the last six months, it is the policy of PSI Seminars that you do NOT attend.

Terms and Conditions

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19(Required)

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact.

PSI WORLD, AND PSI SEMINARS, LLC strongly recommends vaccination prior to attending any seminars and/or indoor gathering.

PSI WORLD, AND PSI SEMINARS, LLC has put in place preventative measures to reduce the spread of COVID-19; however, PSI World and PSI Seminars cannot guarantee that you will not become infected with COVID-19. Further, attending our seminar could increase your risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending a PSI Seminar’s event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the seminar may result from the actions, omissions, or negligence of myself and others, including, but not limited to, PSI employees or staff, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at, or participation in PSI Seminars (‘Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless PSI, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of PSI World or PSI Seminars, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any PSI Seminars program.

I have read, understand, and agree to the Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

Signature(Required)

I have answered all questions truthfully, and I have read, understand and agree to all policies and clauses contained within.

The PSI Basic Seminar is an educational course where you challenge yourself to explore, question, and discover your life such that you expand your personal and professional effectiveness NOW!

Enhance and strengthen your foundation for a life of meaning & purpose.
Access your individual creativity and how to, once and for all, quash defeating internal dialogue.
Discover how to have a deeply fulfilling life by contributing and connecting with others in a deep and meaningful way.
Feel what it’s like to be seen and encouraged to be the highest version of YOU and learn the patterns of successful human inter-relations and communication.
Tap into boundless energy, enthusiasm and excitement by letting go of resentments so you can live fully in the present.
Uncover the mystery of creating abundance by discovering your power to attract all the wealth you desire and gain simple & easy tools for developing thought processes that will help you achieve your goals.
Join over 500,000 people who have experienced the power of the PSI Basic Seminar and have credited this life-changing course for providing them with the tools to discover their potential and realize their dreams.

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Registration

PSI Basic Seminar Audit Application

Contact Information

Confidential Health Questionnaire

Terms and Conditions

Privacy

Security

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