Adventures in Awareness(TM): AIA Individual Student Intensive Workshop

You have selected:

AIA Individual Student Intensive Workshop (What's this?)
Tucson, Arizona
Deposit: $750.00

Step 2. Registration Information

Request Approved Date:

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:

Lodgings while attending:

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

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):

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