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Registration Form for The Mindful Path in Recovery
Please fill out this form, then press the
Email Registration
button
To reserve space in a class, you can
Pay Online
or send a post-dated check (payable to Scott Cruse) to the address below for the full course fee of $350 with the completed form below. Registering does not guarantee a space in class; your reservation is not complete until course fee has been received.
Registration should be received one week prior to the start of a class. Class size is limited. Early registration is recommended.
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Your information will not be sold. By submitting your name and email address, you are giving permission to periodically receive marketing materials from Scott Cruse only.
If you would prefer to fill out a form by hand, print out this
Registration Form
. Please mail completed forms and your payment to:
The Mindful Path in Recovery
Scott Cruse, MSW, LICSW
P.O. Box 80031
Minneapolis, MN 55408
612.227.5407
scott@scottcruse.com