Registration for Facilitator Development Program in the Work That Reconnects April thru Nov, 2017
PLEASE FILL IN ALL SECTIONS.
PROGRAM INCLUDES STUDY GROUPS AND ASSIGNMENTS APRIL THROUGH JUNE, A 12 DAY INTENSIVE JULY 18 -30 AT RIVERS BEND RETREAT CENTER IN MENDOCINO AND STUDY/SUPPORT GROUPS THROUGH NOVEMBER.
Email address
Costs for Intensive lodging options include all meals at Intensive as well as administration and tuition for entire program. A $500 deposit will reserve your place. ($50 of deposit not refundable after March 1). Send check to Molly Brown, 722 Meadow Ave, Mt Shasta CA 96067, or pay via PayPal: payments@mollyyoungbrown.com. We must receive deposits from at least 15 people by March 1, 2017 to hold our reservation with Rivers Bend.
First name, Last name
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Phone Number
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Preferred Gender
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Preferred Ethnic Identification
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Complete mailing and street address
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Please list your past WTR workshops: when, with whom, for how long?
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How do you plan or hope to use the Work That Reconnects?
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Your preferred lodging for Intensive (per person cost includes meals at Intensive as well as admin and tuition for entire program)
Food preferences for Intensive
Volunteer tasks willing to undertake
A copy of your responses will be emailed to the address you provided.
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