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SoulCollage® Facilitator Training Registration Form
You need to complete this form AND pay a deposit to reserve your place in training
Name
Your answer
Email Address
Your answer
Mailing Address
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Your Best Contact Phone Number
Your answer
Please list Emergency Contact Person, your relationship to them, and their contact number
Your answer
Please write your name here exactly as you would like it written on your Certificate of Completion:
Your answer
How did you first experience/hear about SoulCollage®?
Your answer
Were you referred to this training by someone? If yes, please tell me their name.
Your answer
Which of the following Facilitator Training Prerequisites have you completed?
Please tick all activities you have completed.
Required
How do you plan to use SoulCollage® in the future?
(You do not need to know exactly, but if you have any ideas, please let me know what your thoughts are.)
Your answer
Do you agree to having your contact details published and distributed to other participants at the SoulCollage® Facilitator Training?
Do you agree to having your contact details published and distributed to all the SoulCollage® Facilitators in Australia & New Zealand?
Do you agree to have your name and town/city published in the SoulCollage® Neter Letter (monthly newsletter) and on the SoulCollage® Facilitators' Yahoo Group as a welcome to the world-wide SoulCollage® community?
Do you have any dietary requirements?
Please tick all that you require.
Required
Do you have any special requirements that will assist in making the SoulCollage® Facilitator Training comfortable for you? Please specify.
Your answer
Training Fee: Which payment option will you use to pay your SoulCollage® Facilitator Training Fee?
Accommodation Fee: Do you plan to stay at the venue? (Tick all that apply)
Staying at the venue is recommended but not required. Accommodation Fee due by Friday 16 June
Required
How do you plan to pay the fees?
What are your plans for transportation to/from the venue?
The Holy Cross Conference and Retreat Centre is only 15 kms from Melbourne CBD & 40 kms from Melbourne airport and can be accessed by public transport.
I have read and agree to your cancellation policy
If you would like to be added to a (secret) Facebook Group for participants of this training please provide your Facebook URL or your name or email address used on Facebook so I can easily locate you.
Please note: This group is a place to ask questions and connect with each other in the lead up to this training - eg for finding someone to share a ride with etc.
Your answer
Is there any other information you think is important for me to know?
Your answer
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