Student Information
Name
First Name
Last Name
Nondual Shamanism®
Registration Form
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Best Contact Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell us about yourself
What drew you to this training?
Do you have previous experience or training in psychological, spiritual, or physical modalities? If so, what?
Are there any disabilities, illness, medical conditions, personal challenges, etc. that might impact your virtual classes/study?
Are there any physical, emotional or spiritual experiences that might make the training and retreat more challenging for you? If so, how might we best support you?
What complementary/alternative health care practices have you or do you currently use?
Are you currently or have you been a student of ASOS classes? If so, which ones?
What are you hoping to gain from the NDS course?
What makes now a good time to participate in the 2024 NDS training?
Is there anything else you want us to know about you?
Have you ever received a NDS or NKH healing before?
Yes
No
How did you learn about this virtual course?
ASOS Website
Friend
Other
Would you be willing to participate in a 10 minute interview?
Yes
No
Student Signature
Date Signed
-
Month
-
Day
Year
Date
Print Form
Enroll Now
Enroll Now
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