Tracey L. Rogers
About
Contact
Astrology
Readings
Weekly Horoscopes
2024 Astrology Journals
Baby Astrology Books
Holiday Gift Certificates
Life Coaching
TRACEY L. ROGERS
ASTROLOGER + LIFE COACH
t.3 REGISTRATION FORM
Please
complete the registration form below. A full date, place, and an exact time of birth (or 2-hr estimate) must be provided for an accurate astrology reading. Be sure to include your physical address to receive course materials. Your information is secure and will not be shared with others.
Once completed, click the "SUBMIT MY REGISTRATION FORM" button below to proceed with payment. A confirmation message will be sent once payment is received within two business days
. E
mail
info@traceylrogers.com
for any questions.
PARTICIPANT DETAILS
*
Indicates required field
Name
*
First
Last
Gender or Preferred Pronouns
*
Best Email
*
Best Contact Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Program kit, course materials, Certificate of Completion, and your t.3 gift bag will be sent to you in the mail via USPS.
BIRTH INFORMATION
Date of Birth (MM/DD/YYYY)
*
Country of Birth
*
City of Birth, State of Birth (if applicable)
*
Time of Birth or 2-hr estimate (12:00AM/PM)
*
PROGRAM INTAKE
Where in your life do you know it's time for a big change?
*
What are your strengths? Where do you feel most confident in life?
*
When it comes to change, what are you most afraid of?
*
What do you hope to gain from the Thriving Through Transformation program?
*
By checking the boxes below, I understand and agree to the program refund policy and participation guidelines as outlined in the
program FAQs
.
I also understand and agree that all course materials (including video recordings, program documents/resources, and program participant details) will not be shared and kept confidential.
Terms/Conditions
*
Payment/Refund Policy
Participation Guidelines
Confidentiality Statement
PAYMENT REFUND POLICY: A non-refundable deposit of $250 will secure your spot in the program, and your remaining payment will be due no later than Saturday, October 7. ​Payments can be made in full and payment plans are available via PayPal (if setting up a payment plan, you will be able to extend the full payment for the program as needed). ​Student discounts are also available with proof of enrollment in an accredited academic program. Participants will have until Saturday, October 7 to request a full refund of payment(s) made (minus a $250 deposit), and until Saturday, October 21 to request a 50% refund of payment(s) made (minus a $250 deposit). Program costs are non-refundable after Sunday, October 22.
Please verify that your information is correct. Click the button below to submit your form and proceed with payment.
SEE YOU IN SPRING 2024!