facilitator-training-info

Facilitator Training-
Getting to Know You

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Business Phone*
Business Phone*

How do you want your name printed on your official SoulCollage Facilitator Certificate?*
How do you want your name printed on your official SoulCollage Facilitator Certificate?*

How did you first find out about SoulCollage?*
How did you first find out about SoulCollage?*

How long have you been practicing SoulCollage?*
How long have you been practicing SoulCollage?*

About how many cards do you have in your SoulCollage deck right now?*
About how many cards do you have in your SoulCollage deck right now?*

	None
	1-10
	11-20
	20-30
	More than 30

Have you read Seena Frost's SoulCollage book yet?*
Have you read Seena Frost's SoulCollage book yet?*

	Yes
	No

Have you listened to both of Seena Frost's CD's yet?*
Have you listened to both of Seena Frost's CD's yet?*

	Yes
	No

What made you sign up for this
SoulCollage Facilitator Training?*
What made you sign up for this
SoulCollage Facilitator Training?*

Do you have any special dietary needs?*
Do you have any special dietary needs?*

Is there someone coming to this Training that you would like to room with?*
Is there someone coming to this Training that you would like to room with?*

Is there any reason physically why you couldn't sleep on a top bunk?*
Is there any reason physically why you couldn't sleep on a top bunk?*

What kind of a sleeper are you (Check all that apply)?*
What kind of a sleeper are you (Check all that apply)?*

	Early to bed, early to rise.
	Love to stay up late.
	I snore.
	I need absolute quiet to sleep.
	I can sleep through anything.

Other notes about your sleep/roommate needs (optional):

How are you traveling to the training?*
How are you traveling to the training?*

	Car
	Train
	Bus
	Plane

If you are flying, which airport are you flying into?

	Hartford, CT
	Boston, MA

If you are flying in, do you want the email addresses
of others who are flying into the same airport
so you can rent a car together?

Do you have any questions about the Training at this time?

Other Comments (optional):

Please enter the word that you see below.