We’re excited to have you in our training.

This form helps us get to know you and prepare for your training. Your answers do not affect your acceptance into this program. 

After you submit this registration form and the non-refundable deposit of $250 your place is confirmed. You will receive a confirmation email. Please note that your balance must be paid in full by two weeks prior to the training, or you may lose your seat. We limit the number of students in each training group in order to maximize your learning. Please visit our training FAQs for information on our cancellation policy. Thank you! 

If you would like to apply for scholarship assistance, please contact ____insert____

Name *
Name
Address
Address
Phone *
Phone
Today's Date
Today's Date
Do you have experience with mindfulness practice? If yes, please briefly describe.
Have you worked with vulnerable populations (such as youth or adults who are court-involved, homeless, in underserved schools/communities, or have experienced trauma)? If so, please briefly describe where and when.
In just a few sentences, please describe what “cultural competence” means to you.
How did you hear about the Lineage Project training? Please select all that apply:
If a teacher or friend please include their name:
Thank you. We look forward to working with you!

Please submit your $250 deposit to confirm your place.

deposit
Deposit
250.00

non-refundable deposit of $250 your place is confirmed

Pay Deposit