Brain Optimization™ Institute
  Online Enrollment Form
(takes two minutes to complete)

10-Month Certification Course in
Psychology of Consciousness

Gain also Access to Our Tuition Free Classes
Glendale, Los Angeles, California In-Person or
Online Anywhere in the World.

Important Note: there is presently an issue with the Google forms/spreadsheets that
have become invisible to two browsers -- Google Chrome and Firefox.
If you can't see the form below the pictures, please try the Safari
browser; or, alternatively, here is an easy way to enroll in this course:

Copy and paste the basic information requested below (1 to 7) in an email,
complete the information and send it to Gian@BrainOptimization.com

1- I want to participate in BOI's 10-Month Certification in Psychology of Consciousness.
2- I will participate in the group format or in the one on one format: ...........format
3- My name is:
4- My last name is:
5- My phone number is:
6- The best email to reach me is:
7- I got an email invitation from:

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