Application for Somatic IFS Training (Ontario Hybrid July 2022)

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Name *

Email *

Phone Number *

Address

Somatic IFS Series or Retreat completed (and month/year) *

For Series participants who was your EPG (small group) leader? For Retreat who was an assistant that you most interacted with? *

When was your Level 1 and who was your lead trainer? Or, which IFSCA course did you take and when? If other, please explain. *

Other IFS and/or Somatic trainings, workshops, experiences *

I would like to have one of the 10 spots reserved for people who identify as BIPOC/racialized or gender diverse

Yes

Clear selection

I would like to be considered for a scholarship based on financial barriers

Yes

Clear selection

I have taken the time I need to carefully review and consider the cancellation, refund, and COVID policies, and have decided that I am willing to take these measures and assume the health and financial risks involved (please do take your time with this, there is a lot to consider). *

Yes

Is there anything else you'd like us to know at this point to support your registration or learning?

Submit

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