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					         The Shaman’s Path Intensive • Registration Form
                Please fill out– in its entirety– and return to mail@animacenter.org


We request:
        • Your focused intentions and attention, openness and engagement
        • A suggested sliding scale donation of $300 to $600, either upon arrival, or pledged to
be sent in installments later as you are able


This place and work depend on your support, even more so because the Center does not ask
for payment before helping like most places do. No one is turned away for lack of donation.
Those who can give more than the suggested donation will be helping make it possible for us to
serve those with little or no funds to contribute.


Cash upon arrival is fine. You can also donate by PayPal by going to the Membership &
Support page at www.animacenter.org and clicking on the PayPal button. Checks and money
orders can be made out to:
        Gretchen Geggis (Loba)
        PO Box 688, Reserve, NM 87830


All information is strictly confidential, and our mailing lists will not be sold at any time.
Full Name___________________
Address_________________
Email_______________
Phone (optional)______________
Your Job/Avocation/Purpose______________
How did you first hear about us?______________________
Briefly describe your interest in, knowledge of and experiences with shamanism, nature
spirituality/magic, healing or personal transformation_____________________________
Birthdate
       Month
       Day
       Year
Marital Status
       Married/Partnered
       Single
Spirituality or Practice________________
Date & Approx. Time You Plan To Arrive:_____________________
Are you interested in carpooling from the nearest airport?
       Yes
       No
Can you offer a ride to others?
       Yes
       No
Amount You Can Donate ($350-650 Suggested):_______________
Method Of Donating:
       Money Order sent in advance
       Check sent in advance
       Cash donation upon your arrival at the Sanctuary
       In installments, as you are able
Might you eventually also be interested in:
       Assisting the Center’s work in other ways?
              Forwarding Animá events announcements to your email list
              Assisting with Animá outreach, such as posting flyers
              Leading, hosting or arranging for an Animá presentation where you live
              Helping start an Animá study/practice group in your area
              Placing Animá Center books in local libraries
              Encouraging area bookstores to stock Animá Center books
              Internet outreach or research
              Assistance linking with other websites
              Photocopying
              Donating a vehicle or equipment
              Becoming a Supporter
       Becoming a student of Animá?
              Yes
              No
       Becoming an apprentice of Animá someday?
              Yes
              No
       Personal counsel while here?
              Yes
              No


As soon as we get your completed application, we’ll write back with confirmation, as well as
directions, practicalities and what you will need to bring. We’re pleased to welcome you!

				
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