Registration

TRANSFORMATIONAL EXPERIENCES

# Attending: *

* You must fill out all required fields before your order can be SUBMITTED.

If you have a problem registering, please contact us at 212-575-1789.

Security Code on back: *

Name of Course: *

Course Registration

Cell Phone: *

Start Date: *

Last Name: *

To register for a course on our secure site, please fill out form and submit.

Courses are non-refundable but may be used by the registrant for another Curiosity Lab & Theater event within 1 year.

Your bank statement will show this charge from Curiosity Lab & Theater, LLC.

* Indicates required field.

Expiration Date: *

Credit Card #: *

Email: *

Discount Code if applicable:

How did you hear about us:

First Name: *

Course Fee (a 2% process fee will be added) *