Registration & Confidentiality Form (Online Workshops)

Select the workshop you plan to attend(Required)

Workshop INSTRUCTOR name (NOT student name)(Required)

Workshop INSTRUCTOR email (NOT student email)(Required)

Workshop date(s)(Required)

I have completed the required prerequisites for the workshop I plan to attend(Required)

Yes

Yes, I will have completed prerequisites before the workshop date

No, prerequisite required, The Shamanic Journey: Pathway to Knowledge & Power™

Prerequisite workshops I have completed

Your (student) name(Required)

First Last

Your (student) email(Required)

Your address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Providing your address allows us to customize notices we may send you based on your geographic area and also serves to keep our list of graduates up to date.

Your phone number(Required)

Are you an FSS member?(Required)

Yes

Please sign this form by typing your full name below, signifying that: "I understand that entering my name constitutes a legal signature confirming that I acknowledge and agree to the above confidentiality, recording, and teaching purposes agreement."(Required)

Your email preference

Yes, I wish to receive the FSS email newsletter a few times a year and periodic emails about course offerings, member benefits, and items of interest to the shamanic community. I understand I can unsubscribe at any time using a link in each email or by emailing info@shamanism.org.

No, I do not wish to receive email updates from the FSS.

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