Example: Thursday only; Thursday and Friday; Friday and Saturday
Name *
Phone *
Payment Submission *
Registration is complete ONLY once payment has been received. See details on the left under Payment.
Media Release Waiver *
I give permission to Healing Center International to take photo or video of me during the 2019 Leadership Retreat. I authorize Healing Center International to use my image in present and future promotional materials, emails, HCI’s website: www.GodHealsToday.org and HCI’s social media accounts, such as Facebook and Twitter. I hereby release Healing Center International and its legal representatives for all claims and liability relating to said images or video and I release my right to any compensation. By choosing yes below, I agree to and understand the terms and conditions as expressed to me by Healing Center International and acknowledge that I am over the age of 18. Yes No
Media Release Disclaimer
Please note, we will be taking pictures of everyone during the event. However, by selecting "No" to the media release waiver we will never use any images containing your person without first removing you form those images.
Contact Status *
I give permission to HCI to use my information to contact me about classes, events, news and more!

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