Assistant Application                                  Liberation: Releasing The Past 
Assisting this workshop is a rewarding opportunity to serve others and model the work. Filling out this application in advance ensures you are part of the assistant selection process. The price for assistance is $1,350 for US trainings. 
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Name (first/last *
Email Address *
Phone Number *
What Liberation Workshop are you interested in assisting in 2024? *
What workshops have you attended with Dr. Ellis? *
What workshops have you attended or assisted? *
What inspires you about the opportunity to assist? *
Are you trauma informed? *
Are you currently CPR/ First Aid certified? *
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