Please complete both the "Registration" and the "Info/Health History" forms in their entirety. After completion of each form, make sure to click in the "I'm not a robot" Captcha box and then hit the submit button. Your forms will be automatically added to my inbox and a copy will be emailed directly to you. I recommend that you print out or save a copy of each form for your records and future review.

Once you are accepted into the program you will receive an email from me instructing you what to do next as you prepare to begin the program.