Soul Speech Immersion Registration Form 2024

October 2024 - April 2025

LEVEL 1 | Vancouver Island, Canada.
Registration Information
Name*

First NameLast Name
Preferred Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Information About You
What previous experience do you have with NVC or a similar consciousness, mediation or communication modalities?*

NVC in person workshopNVC online workshopOther
Please provide a short description:
In what area are you most interested in applying your learning?*

Self awareness and understandingFamily DynamicsWorkplaceCommunity/NeighboursAs a trainer, leader, facilitator
This immersion program includes three four-day retreats, in Nanaimo. Each of the three retreats covers a lot of ground; please confirm your commitment to attend each of retreats:*

October 18th - 21st, 2024January 31st - Feb 3rd, 2025April 25th - 28th, 2025
This is an intensive program. In addition to the three retreats, there are weekly online sessions, journalling and reading.

We ask for the participation of each person as it impacts the learning experience of the group when an individual is not present.
Each week will alternate between practicing and teaching. Please consider whether or not you are ready to commit to this.*

Yes, I am ready and willing to commit to a weekly learning session, in-person or online, Wednesday evenings throughout the duration of the program.
Sliding Scale:

We aim to support people with varying financial means. Please choose the tier that best reflects your financial situation, knowing that accessing quality training can be a worthwhile stretch.

Regular Rate: $3200 - Covers the costs of food, venue, materials and supports the facilitator with a sustainable income for covering basic expenses for home, family and self care in life.

Accessible Rate: $2400 - For individuals who need this rate reduction due to limited resources.

Supported Rate: $800 - (2 Spots Available) For those with no or very reduced income or unexpected life circumstances. We welcome you to request this option and also encourage you reflect on others who may be applying.
Before September 5th*

Regular Tuition Early Bird: $3200-$300= $2900Accessible Rate Early Bird: $2400-$300= $2100
Choose One*

Regular Tuition ($3200)Accessible Rate ($2400)Supported Rate ($800)
Are there any questions you would like answered about the program?
Thank you for your interest.

www.angelawalkley.com - soulspeech1.0@gmail.com
Should be Empty:

October 2024 - April 2025

Registration Information

Information About You

Thank you for your interest.