Goddess Studies and Priestess of Gaia  - Enrolment form
Welcome, Please fill out the questions below and you will be contacted by a temple teacher via phone for further conversation.
Sign in to Google to save your progress. Learn more
Email *
Name *
Your legal first and last name
Chosen Name
If different from your given name.
Address *
Mobile Number *
A teacher from the course will call you for a follow up discussion
How did you hear about this training? *
ABOUT YOU
Tell us a bit about yourself
What are your spiritual beliefs?
What do you hope to receive from the program?
I am interested in
What experience and/or study do you have relating to Spirituality, Ecology or Activism?
and/or any other trainings you have undertaken you would like us to know...
Do you have any specific needs we should know about?
Clear selection
VOCATIONAL HISTORY
Current Occupation
Previous Relevant Occupations
I understand that all course fees are non-refundable* and due before the 29th of January 2023. *
* If program cancelation must occur due to unforeseen circumstances or not enough participants course fees will be refunded less administrative costs of 25%.
Required
Admission fee due dates
Place Holding Deposit: $100 (Due 29th January 2023 - non-refundable in any context )

Quarterly Payments: $777 (4 instalments due last week of Jan, April, July, October)

Full Payment: $3000 (Discounted and due prior to Jan 29th)
Bank details - Direct deposit
Account name:
THE GAIA TEMPLE INCORPORATED
BSB: 633000 (Bendigo Bank)
Account No: 175027747
Emergency Contact
Who should we contact for you in case of emergency?
Name
 Mobile number
Address
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms