Wild Mind Mirroring Training

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These questions are designed to help us determine your readiness for this program, and whether your intentions and those of this immersion jive, as well as to begin to stir things up for you! Please thoroughly read the program description on the website prior to applying, to be clear of your calling to this particular immersion. NOTE: Please go to the heart of the matter in your responses to the questions, being brief yet thorough. Out of respect for your own time and the time of our staff and guides, we ask that you do not press “send” until you have strong confidence that you can arrange the time away, logistics and finances to join us if your application is accepted. Thank you!

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1 Welcome

2 People in your group

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

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3 Tell Us About You

Address
Address 2
City
State/Prov.
Zip/Postal
Country
Phone *
Gender	This information is used to help the guides understand the demographics of this program.
Preferred Name and Pronouns
Birth Date
Please list any Animas immersions you’ve attended with the program name, year, and guide/s. *
Please list the soul-oriented or nature-based work you've previously experienced, especially those programs, trainings, and undertakings that combine the two. Your prior experience might have been through wilderness programs, ecotherapy, depth psychology, vision fasts, indigenous training, other spiritual disciplines, or under the guidance of your own evolving conversation with the world. *
Please outline your previous experience and training in mirroring stories.
In what future contexts do you see yourself using mirroring skills?
Why are you interested in participating in Mirroring Training at this time?

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