Participant Enrollment Application
Email address *
HER Weekend Trainings
April 17-19, 2020
Templeton (San Luis Obispo), California
Dancing Deer Farm

October 16-18, 2020
Perry, Kansas
Camp Chihowa
Select a HER Weekend Training *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Example: CA (Uppercase)
Your answer
Zip *
Your answer
Primary Phone *
Format Example: 000-000-0000
Your answer
Home Phone
Format Example: 000-000-0000
Your answer
Work Phone
Format Example: 000-000-0000
Your answer
HER Weekend Permissions: *
Does the H.E.R. Weekend have permission to print your contact information above for distribution to other participants attending your training?
Please list the types of personal growth work you have done in the past:
Your answer
How did you hear about the H.E.R. Weekend?
Your answer
A copy of your responses will be emailed to the address you provided.
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