signed by the Center Administrator ____________________________________
(printed name: _____________________________________________________)
signed by the Spiritual Leader ____________________________________
(printed name: ______________________________________________________)
This form must be completed with all points initialed, then received by Serving New Thought for me to enroll in the program and if it is found that it is not on record, I must complete it and submit it in good faith within 5 business days to remain within the program. If I am found in violation of any of the articles of this form, and need to refill and resubmit this form, resubmission have a similar 5 day deadline meaning that it should be posted within those five days and therefore have a postal mark within a working week of being informed that I need to resubmit it.
Print this page, complete the above checklist, initialing each item, sign it,
then mail it to: