Workshop Apprenticeship

Registration Form

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

General Information

I am signing up to apprentice with:

First Name

Surname

Current Address

City

Postcode

State

Country

Home Phone (with area code)

Mobile Phone (with area code)

Email Address

Birth Details

Date of Birth

Time of Birth (if known)

Place of Birth

Sun Sign

Moon Sign

Ascendant

(If you don't know your astrological details, just write 'unknown')

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), since completing your 4SJ

Further education since your 4SJ

Further shamanic experience since your 4SJ

Skills & interests

What interests you about the Workshop Apprenticeship program?

What do you hope to gain from your Workshop Apprenticeship?

What is your vision of yourself as a Workshop Teacher?

Anything else you'd like to share?

I have emailed a copy of my practitioner insurance to [email protected]

I have emailed a copy of my First Aid Certificate to [email protected]

"becoming a Woman" ~ facilitator training April 2024

"becoming a Woman" ~ facilitator training April 2024

"becoming a Woman" ~ facilitator training April 2024

Workshop Apprenticeship

Registration Form

General Information

Birth Details

Family

Health

Emergency Contact

Occupation & Interest

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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