*** Please print out this form for you to complete. *** 




ROOTS OF SHAMANISM 

2012 REGISTRATION FORM  








I am registering for: 

(Please check)



Roots of Shamanism Course ______   





NAME:

_________________________________________



ADDRESS:


_________________________________________



_________________________________________



_________________________________________




PHONE:

_________________________________________



CELL:


_________________________________________



EMAIL:

_________________________________________








TOTAL INTENDED PAYMENT:  ________________

(sliding scale of what you can afford $600-$750 for 17 classes)






AMOUNT OF TUITION SENT UPON REGISTRATION: ________________ 



PLEASE CHECK THOSE THAT APPLY:




(  ) I am sending my tuition payment in full. 
(sliding scale $600- $750). 



(  ) I have sent my deposit of $200. (non-refundable)



(  ) I have sent my deposit of $_______ plus $_______ of my tuition. 
 




*** Must initial to complete registration: 



(      ) I understand that the full tuition is due by the first apprenticeship class unless other payment plans or other arrangements have been made with permission.








* Make checks payable to The Gaia School of Healing.



    * Send completed registration form and payments to: 
The Gaia School of Healing, 172 Pine Banks Rd., Putney, VT 05346


      Contact by phone or email: 617-838-8094, thegaiaschool@gmail.com














         The cost for the 6 month course starting May 31st, 2012 is $600 - $750 (sliding scale) for 17 three hour classes. Payment plans are available at a sliding scale of $25 per class (after initial $200 class deposit). A $200 deposit (non-refundable) is required to register for the course and is subtracted from the total cost. Full payment is due by the first class meeting unless a payment plan has been arranged in advance. Refunds for half of the course tuition will be given if a student withdraws before July 12th. After the date of July 12th, the full course tuition is due and no refunds are given if a student cannot complete the full course. Those with payment plans must pay the full tuition by the end of the course whether or not the course is completed in full, and will owe half of their tuition if withdrawing before July 12th. 



Please feel free to contact Sage with any questions, at thegaiaschool@gmail.com, or call 1-(617) 838-8094. 



Several past apprentices have volunteered to be contacted by prospective students about their experiences of the courses. Let us know if you would be interested in speaking with them!











Please take the time to answer the questions below so that we can learn more about you.



How did you find out about the Gaia School?







What are your specific interests regarding shamanism, earth spirits, and spiritual practice? 







What are you most looking forward to learning during this course? What are your desires and expectations?















What are some of your past experiences that have contributed to your interest in shamanic practice?
















Please take some time to tell Sage about yourself, and to ask her any questions that you have regarding this course. 



















We look forward to you joining us! 


Green Blessings,
The Gaia School







The Gaia School of Healing & Earth Education


c/o Sage L. Maurer


172 Pine Banks Rd..


Putney, VT 05346



thegaiaschool@gmail.com


617-838-8094