Martha and Mary H.A.T Training Registration

Thank you for your interest in our Healing Arts Toolkit Program training coming up at Martha and Mary May 9-11, 2016. We are excited to spend three days learning, moving, and practicing the creative arts with you. Please complete the following registration information so we can get to know you, your background, your interests, and your thoughts on the upcoming training! 

Registration Information

Personal Info
Name *
Name
We offer two different types of shirts, a women's fitted cut and a unisex cut. Choose which ever one you like best!
Permission to Use Photography
I grant to First Aid Arts, its representatives and employees the right to take photographs of me and my property in connection with this training. I authorize First Aid Arts, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that First Aid Arts may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
How much personal and/or professional experience do you have with the arts? *
I am comfortable leading or facilitating an arts-based group *
I am comfortable leading or facilitating an arts-based group
I have a good understanding of traumatic stress and its impact on the brain, body, and relationships *
I have a good understanding of traumatic stress and its impact on the brain, body, and relationships
Professional Info
What would you like printed on your nametag
Tell us a little about your role (e.g. volunteer, part-time, fulltime, and some of your responsibilities)
Anything else you'd like us to know about you, your organization, or your interest in this upcoming training?
Please include any education, trainings, or professional experience that helps to inform your work at Martha and Mary