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Online Registration & Payment

You have selected:

AIA Facilitation Skills Workshop
(What's this?)
August 11 - 15, 2010
Borderlands Center
Sonoita, AZ
Tuition: $1,550.00
Deposit: $ 775.00 (Balance of $775.00 due August 1st)

Please Note: Deposits are non-refundable and do apply to future workshops.
If registering late, please call 520.247.3383 to verify that there is still space.

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:

Lodging Arrangements:

I will be staying at:

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):


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Adventures in Awareness(TM)
info@adventuresinawareness.net
520.247.3383
Adventures In Awareness