You have selected: Facilitation Skills Workshop (What's this?) September 17 - 20, 2008 Esperanza Stables Sonoita, AZ Tuition: $1,450.00 Deposit: $ 750.00 Step 2. Registration Information Name (First & Last): Address: City: State: Zip: Website: Phone: (Include area code) Cell: Email: Country: Date of Birth: Age: Height: Weight: Eating Plan: Vegetarian: Yes No Other special considerations & sensitivies: Current Life Situation: I am pregnant, or possibly pregnant: Yes No Live changing circumstances Marriage Divorce Death of a Loved One Career Re-Frames Geographical Moves/Relocations Health Challenges New Status As Grandparent Any sensory or mobility issues, allergies, special needs: I identify as: Horse Professional Animal handler Health Professional Program Director Educator Student While horse experience is not essential, briefly describe your horse background: I am aware that this is an 'experiential workshop' learning through doing. I know I will be discovering more about myself as I learn to work with horses as colleagues in equine experiential learning. I am aware that this equine facilitated experiential learning process evokes feelings and emotions. When I return home, my support system is: 12 Step Program Feelings Support Group Individual/group therapy Church group Spiritual Practice group Other (please specify):
Address:
City:
Website:
Cell:
Email:
Country:
Age:
Vegetarian: Yes No
Other special considerations & sensitivies:
I am pregnant, or possibly pregnant: Yes No
Live changing circumstances Marriage Divorce Death of a Loved One Career Re-Frames Geographical Moves/Relocations Health Challenges New Status As Grandparent
Any sensory or mobility issues, allergies, special needs:
While horse experience is not essential, briefly describe your horse background:
Other (please specify):
