Student Registration Form
  • Welcome! You are enrolling for the Neufeld Institute course NEUFELD INTENSIVE III: Becoming Attached. Once we have processed your registration and payment, we will email your campus credentials and orienting information. This normally takes 1-2 business days.

  • Identifying Details:

    Denotes Required Field

    Please provide us with the following information:
    Use the province/state and country selectors below for other information.
  • Total Payment Required:

    Please note that payments are listed and charged as Canadian funds.

    Total for the course


    If you have been given a promotional code, please enter it here and include your explanation in the Notes field above.:

    Final Total CAD$
  • PayPal Acceptance Mark

    When you click the 'Submit' button below, you will be directed to the PayPal site, where you can complete the payment for your enrollment. Note that you do not need an account with them to use a credit card for your payment to us. Click on the Don't have a Paypal account? option once you get to the PayPal site.

  • If you would like to arrange a payment via a sponsoring agency instead of paying personally via PayPal, please check here .

  • For security reasons, please enter the pink code into the box at the right:
  • (Note that it can take a while for PayPal to respond - it can take as much as ten seconds, so please be patient.)