Mindful Journeys Registration 2025-2026
Participant Name
*
First Name
Last Name
Parent/Guardian Name; if participant is a minor, include Parent First & Last Name under ‘Other’.
*
N/A
Other
This activity is for adult and 16+ teen sisters. Nursing infants welcome. Which describes you/the participant?
*
Adult sister
Adult sister + nursing infant
Teen sister 16+
Which dates are you registering for? Select all that apply
*
All Dates
Nov 16 Fall
Nov 23 Fall
Dec 7 Fall
Jan 11 Winter
Jan 18 Winter
Jan 25 Winter
Feb 8 - Special Pre-Ramadan Session 1
Feb 15 - Special Pre-Ramadan Session 2
Participant or Parent Phone Number
*
You may provide a parent/guardian phone for minors.
Format: (000) 000-0000.
Participant email; IMPORTANT: This is where you will receive information for your session(s) such as location, schedule, and updates. Please ensure this email is accurate and monitored.
*
example@example.com
In which CITY do you live? This is required for planning purposes
*
Emergency Contact Name
*
Emergency Contact Relationship to Partcipant (e.g., spouse, parent, guardian)
*
Mom
Dad
Other
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
What interests you most about participating?
*
What is your level of natural-surface trail hiking experience you have (none, returning member, some, etc)
*
Allergies, Dietary Restrictions, or Environmental Sensitivities (Optional)
Any Special Accommodations, Sensitive Topics, or Health Concerns (Optional)?
Back
Next
Would you like to inquire about a Payment Plan?
Yes
No
Other
Is there a discount of promo you’d like to apply?
Black Friday sale, ends Dec 3
Trial Member Promotion
Welcome Back Hiker deal
Not at this time
Other
How do you prefer to make your payment?
*
Credit or Debit Card (submit this form and you will be directed to the payment page)
Zelle (submit this form and skip the payment page; you will be contacted with details)
Payment Plan (handled through Zelle)
Black Friday sale
Promo or discount
Other
Please review our program policies at KolibriEdCo.com/policies before registering. Confirm below that you understand and agree to these terms, including our no-refund, signed-waiver, and acceptance-of-registration policies
*
I have read and agree to the policies.
Mindful Journeys sessions are peer-led experiences involving optional movement and activities. The instructor is not a medical professional and cannot provide medical advice or emergency medical care. It is your responsibility to consult with your healthcare provider before participating if you have any concerns.
*
I understand and agree
I do not agree and voluntarily withdraw my registration
Please share any additional questions, comments, or special concerns (Optional)
Continue to Payment
Should be Empty: