To register for a course offering complete the information below and return with payment by the registration deadline date. The course fee is $650.00. Registration is on a first-come/first-serve basis.
To register for courses with Dr. Hankinson or Dr. Hagopian please refer to the course listing for the registration process. This form is for courses with Dr. Jealous only.
Please enter the required code listed below.
If this form does not forward to me please return to this page and re-enter the code below.
**If you are interestd in a course that is “closed” and would like to be put on our waiting list, please contact us and we will be glad to put you on our waiting list.
Payment Information: Check or money order made payable to James S. Jealous, D.O. No postdated checks, please. We are unable to accept credit cards. A fee of $35.00 will be charged on all returned checks. CANCELLATION POLICY: There will be a $250.00 cancellation fee for cancellations made 21 days or less prior to a course.
Send Payment and Registration Form by the deadline date to:Marnee Jealous LongLongtide Management Inc.6501 Blackfin WayApollo Beach, FL 33572(813) 765-5005 phone or (813) 649-0760 Faxmjllong@verizon.netDr. Jealous reserves the right at any time to deny an individuals request for course enrollment and/or attendance to the course.