Becoming ~ A Woman

Facilitation Training Registration Form

Please complete your registration process by providing us with some information about you.

General Information

First Name

Surname

Street Address

City

Postcode

State

Country

Home Phone (with area code)

Mobile Phone (with area code)

Email Address

Date of Birth

Place of Birth

Family

Married /Partner?

Children?

Children Name & Age (if applicable)

Health

Any allergies/things we should be aware of, such as anaphalaxis?

Any dietary restrictions and special requirements for catering purposes?

Current & Previous Illness

Are you currently taking any medication?

Emergency Contact

Emergency Contact Name

Relationship to you?

Emergency Contact Phone (with area code)

Occupation & Interest

Occupation

Previous employment (including voluntary work)

Education since High School

Skills

Spiritual Beliefs & Practices

Teaching & Workshop Facilitation Experience (if any)

What interests you about preparation for menstruation and menstrual education?

What is your personal vision for this work?

Photo

Please upload a photo of yourself

(So that we can recognise you when you arrive!)

"becoming a Woman" ~ facilitator training April 2024

"becoming a Woman" ~ facilitator training April 2024

"becoming a Woman" ~ facilitator training April 2024

Becoming ~ A Woman

Facilitation Training Registration Form

General Information

Family

Health

Emergency Contact

Occupation & Interest

Photo

schoolofshamanicwomancraft

Podcast

31 – Connections – Laura – Heal Birth – Heal Earth

30 – Open – Laura Jayne – Wilderness Within

29 – Knowing – Sonia – Red Thread Healing

Learn

Contact

Thanks for your interest!

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