Camino Institute Young Women's Online Seminar Application
Thank you for your interest in the Young Women's Online Seminar! This application form will collect contact information and allow you to choose from available scheduled cohorts.

Once you submit your application, we will be in touch shortly to verify your cohort placement and provide payment options. Please remember that payment in full is required to secure your space, and that refunds will not be provided for missed sessions. We recommend you take a close look at the calendar for your selected cohort before confirming your participation.
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Last Name *
First Name *
Email Address *
Mobile Phone *
Street Address *
City/Town/Village *
State *
Zip Code *
Date of Birth *
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Please confirm that you have reliable access to videoconferencing (i.e., a good internet connection, webcam, etc.) *
Required
Will you be a student at the time of your cohort? *
Please confirm that you understand that Camino Seminars are educational experiences only and are not intended to serve as therapy or counseling. Our Seminar facilitators are professional educators and/or ministers but are not mental health professionals. *
Required
Please select a cohort. *
Optional: What draws you to the Seminar? What are you hoping to gain from it?
LIABILITY RELEASE The individual submitting this application is requesting to be allowed to participate in an online seminar with Camino Institute, LLC (“Seminar”). As a condition of being approved to participate in the Seminar, I hereby release and discharge Camino Institute, LLC and all partnering organizations, agents and employees, as well as local host ministry/organizations (“Camino Institute”) from all claims for personal injuries, including death, or property damage (“Damages”) of any nature that I may suffer as a result of my participation in the Seminar, whether or not the Damages are caused by the negligence of Camino Institute. I agree to assume all responsibility for risk of all Damages I may sustain while participating in any activity of any nature, including the use of equipment and facilities of Camino Institute. Any dispute arising out of this agreement or by virtue of participation in the Seminar shall be adjudicated under New York law and all actions or proceedings commenced shall be done so in New York State Supreme Court, Erie County. By checking the box below, I confirm that I have read this release and agree to the terms. *
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