Self Awareness Institute - Innovative Counseling, Therapy and Personal Growth Center

The Self Awareness Weekend is held at least once a month in Sacramento, California.

for an upcoming date.

First, complete the Registration Form below or go our printable forms to send via postal mail to hold your place.

Secondly, complete ALL followup questionnaires and send to Andrea by the Tuesday before your weekend (via email or mail).If you have already registered for a SAW date and paid your deposit, you may pay the remaining balance online here

Registration Information

Today's Date:

Your SAW Date:

Select online payment amount:

$150 deposit only

Full Amount $1250

Early Payment Discount: $1195
(if paid 2 weeks in advance)

Personal Information

First Name:

Last Name:

Preferred Name:

Address:

City:

State:

Zip:

Work Phone:

Home Phone:

Best time to call:

Occupation:

Email:

Birth Date:

Age:

Referred By:

Contact Information

Self-Awareness Institute
5777 Madison Ave., Suite 307
Sacramento, CA 95841

Questions? Call (916) 966-0411
Or toll free (866) 204-6384

Cancellation Policy:
Any cancellation received with at least one week notice before the Weekend gives you the following options:
1) Receive a refund of your payment less the $150 non-refundable fee, or
2) Apply the amount paid to a future Weekend taken within one year.
No credit or refund is available if you fail to give proper notice, if you do not show up, or if you leave the Weekend early.

Please be sure and read carefully the General Information and Reminder List and send your completed questionnaires either by email (alambert@12promises.com) or postal mail to the address above, by the Tuesday before your Self-Awareness Weekend.

If you have any questions, concerns, or would like to have more information... CONTACT US - We would love to hear from you!

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