EMERSON INSTITUTE
ONLINE CLASS REGISTRATION
Name______________________________________________ Date ______________________
Mailing Address_________________________________________________________________
Tele:________________________________________ E-Mail____________________________
Course Title - Total Units NOTE: Separate Registration required for each class enrollment
__ One Year Course in Practical Spirituality - 12
__ Emerson Online Practitioner Course - 7
__ Practitioner Course (single graduate unit) - 1
__ Introduction to Buddhism - 2
__ The Hindu Pantheon - 1
__ The Tao te Ching - 2
__ The Creative Word - 1
__ The Tao of Service - 1
__ High Mysticism, Hopkins - 1
__ Ministerial Ethics - 1
__ Hindu Pantheon - 1
__ Remedial Christianity - 1
__ Effective Speaking (Knapp Materials) - 2
Specify Unlisted Elective
Subject ___________________________________________________ Beginning Date: ________________________
Per Unit Cost: $ 100.00 $__________
Materials Fee: $__________
Total Amount Enclosed: $__________
Signature____________________________________________________ Date ____________________
Payable by check to Dr. Susanne Freeborn. Please mail together with this form to:
Dr. Susanne Freeborn, 141 Wellesley Crescent Circle, #207, Redwood City, CA 94062