Essence Circles Registration

Essence Circles Registration Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Name*

First Last

Phone*

Email*

Your Email Confirm Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Time Zone

Other Time Zone

Referred By

Please enter the name of whomever referred you to RTS Essence Circles or where you heard about it below.

Restoring the Soul Essence Circles

Please choose the number of Essence Circles you wish to attend.

3 Sessions

6 Sessions

12 Sessions

Referral Code

If you were given a referral code for this event, please enter it here.

Total

Credit Card

Card Details

Cardholder Name

Important Information to Complete Registration*

Please Read Then Check the Box Below - After you submit this form you will receive an email with instructions and next steps to complete your registration.

I have read and agree to the statement above.

As an intensive counseling center with Christian therapists, we are committed to honoring your faith and spirituality, wherever you are on your journey.

When you attend an Essence Circle, there won’t be expectations about what your spiritual life should look like. We are here to help you engage honestly with your questions and experiences as you take steps towards healing and an emotionally healthy spirituality.