Interest Form - Susquehanna Mystery School

Thank you for your interest in attending the Susquehanna Mystery School.

Once you have reviewed the Program Details and Curriculum, the next step is to complete the Interest Form below.

Once submitted, our Director will be in touch with you in 3-5 business days with details about the next steps.

Interest Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Do you require any provision for special needs, physical or dietary? Please answer Yes or No. If "Yes", please specify: *

Occupation: *

Previous Education/Training in Spiritually Related Programs: *

Personal Spiritual Perspective: *

Brief Biography of Spiritual Experience/Religious Affiliation: *

What appeals to you about the Susquehanna Mystery School and what do you hope to offer of your gifts? *

What do you hope to take with you upon completion of the course? *