TUITION: I understand that by signing this registration agreement I am making a contract with Astrid Pujari, MD that I will pay in monthly installments of $185 per month for 12 months, or in one payment of $2200. 

• If paying monthly I agree: 

  • At the time of registration, if I have not already done so, I will arrange for a time to call Dr. Pujari’s office and place a valid credit card on file; if I do not place a valid credit card on file at least 48 hours prior to the class date, my registration in the class will be rescinded.

  • I will be charged for twelve successive months, until the full amount has been paid. I understand that regardless of when I register, I will be charged the first installment on the day of my registration and the subsequent payments on the first of the remaining 11 months, until the full amount has been paid.

  • I understand that my tuition includes: 4 Mini-Retreats, 3 Online Energy Classes, 3 Online Get-Togethers, and 1 In-Person Holiday Celebration.

  • I will pay the full amount of tuition, regardless of how many classes and/or events I attend or do not attend, regardless of circumstances. If I decide to cancel my participation in the course, I agree to put my request in writing and on the day of my written request, I agree to pay in full the remaining amount of tuition at that time. 

• If paying in full I agree to make the $2,220.00 payment at the time of registration. 

 

I CHOOSE TO: (initial one)

 

pay in full; I understand I will be charged in full at the time of registration. 

 

pay in monthly installments.

 

ZOOM: I understand that this class will primarily take place over Zoom only and that I am solely responsible for ensuring that I have a working Zoom account, that I either know or will learn how to use Zoom, and that I will ensure that my Zoom is working prior to the class. If I have not already done so, I agree that my registration is not complete until I sign the provided Zoom Recording Release and Confidentiality Agreement.

  

CLICK HERE TO SIGN THE AGREEMENT

 

IN-PERSON CLASSES: I agree that I am solely responsible for any and all travel arrangements, weather precautions, Covid precautions, and any issues that may arise regarding my attendance for any class taking place in person. I also agree that I will not hold Astrid Pujari MD, ABIHM accountable for any injury, illness (including, but not limited to Covid), loss of property, or any other hardship I may incur during an in-person class. I understand that any and all in-person classes will not be recorded and that if I miss an in-person class I am solely responsible for obtaining information about the content of that class. 

 

MISSED CLASSES: I understand that there may or may not be a video or audio recording of classes held on Zoom that I can access afterward if I miss any, and that in-person classes will not be recorded. I also understand that there will be no make-up classes, that I will be charged for all classes regardless of attendance, and that if I would like information about the content of a missed class, I am solely responsible for obtaining it. I understand that I am responsible for knowing the dates and times of all classes, and that any class may be rescheduled by Dr. Pujari with advance notice. 

   

CLASS CONTENT:

I understand that this class is intended for spiritual education only and is not intended to diagnose or treat any illness or provide any medical advice, diagnosis, or treatment. I will hold Astrid Pujari, MD harmless for any information provided.

   

COVID-19 DISCLAIMER AND RELEASE AGREEMENT:

   

(initial required) I agree that Astrid Pujari, MD and all affiliates:

 

• will not be held responsible for any exposure to any variant of the Covid-19 virus, nor held responsible for any medical complications or expenses in the event that the purchaser contracts the Covid-19 virus, including any treatments for same. This includes the possible spread of any variant of the virus to any other person the purchaser has contact with during the retreat or otherwise.

• will not issue refunds should Covid-19 related travel delays, itinerary changes, cancellations, or any other unforeseen disruptions occur.

• assumes that the purchaser will at all times make a good faith effort to protect themselves and all persons they come in contact with from contracting and/or spreading the COVID-19 virus by leaving or not attending the retreat if they have been diagnosed with COVID-19 virus or have symptoms of COVID-19 virus.

• Masks are NOT required at this retreat, and in signing this contract, Astrid Pujari, MD and all affiliates are released and held harmless from any and all liability from participating in the retreat, including the contracting of all communicable diseases including COVID-19.

• All participants are responsible for their own medical expenses, Covid-19 related or otherwise.

 

CONFIDENTIALITY: I understand that the dynamic of the group lends to an open and intimate sharing of personal information, and I can share or not share within my level of trust and comfort, without expectation. I also understand regardless of my contribution, confidentiality is of the utmost importance, and I agree to not repeat personal details shared during class with anyone outside of the group.