2017 Active Trainer Report

First Name *
Last Name *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone (preferred) *
Phone (secondary)
Email *
Please provide your professional name for brochures, etc. *
If your listing has changed, please provide your name and contact for your listing on the Godly Play Foundation website.
Would you like the above contact information included in a Trainer database to be shared only with Godly Play Board members, Trainers, and staff? *
YesNo

Did you lead a Foundation Core, Commuter Core, or Advanced Training in 2017? *
YesNo
Please list all workshops (aside from those run through the Foundation) that you led in 2017 and include dates, locations, and co-leaders. *

Please tell us about your 2017 collaborative work with fellow Trainers and the Foundation. *
Please list all Godly Play Trainer gatherings and conferences attended in 2017. *

Please list the date, location, and story of two Godly Play sessions led in 2017. *
Are you regularly engaged with a Godly Play circle? *
YesNo
Please tell us about your regular circle, including participants' ages, setting, and the name of the specific location. *

Additional comments for the Director of Training or the Education Committee.
Please attach any updated information. If any of your documents are out of date, you will receive an email letting you know that it is time to update them.

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