FORM: Ethical Spaceholding

Ethical

Spaceholding

We are honored to host this course and we can't wait to meet you! Let us know some more about yourself and we will be in touch shortly after.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date

MM

DD

YYYY

Current or aspirational ways you show up as a space holder:

Briefly explain your history (in this lifetime and others) on the path of service:

What gifts, medicine and skills do you feel called to refine as offerings?

Out of the 7 weekly course topics, what one(s) are speaking the most to you?

What draws you to this continuing education course at this time?

Anything else you would like us to know?