Register for EQUUSOMA® Level 1

The following Registration Form contains a Student Agreement and a Media Waiver. Please set aside sufficient time to complete it in full, as you cannot save partial progress. To assist you, we have provided the Agreement & Waiver as a PDF for you to optionally print and review at your leisure. Once you have read it, please return here to the online form to sign up.

Please note: once you hit Next on each page of this form, you can’t go back to change any information. Some information can be changed later via your Profile in the portal, while other information may need to be updated by emailing info@equusoma.com.

1. CONTACT INFORMATION
ORDER SUMMARY
EQUUSOMA® Level 1: full payment
$5,100.00
Total
$5,100.00
Select payment plan:
Full Payment
2-Payment Plan
4-Payment Plan
6-Payment Plan

Canadian students are subject to the provincial or territorial tax where they reside. For students located outside of Canada, no tax applies. Tax will be calculated automatically based on the address you enter in the  billing section on the next page.

I fall in the following stream(s) of registrants for the Level 1 training program. Please check all that apply, and provide brief descriptions/designations in the box below:

Is there anything else we should know about you in order to support your learning as effectively as possible?

EMERGENCY CONTACTS

Please provide two emergency contacts, who will only be contacted if there is concern for your safety and well-being. This is due to the possible health risks listed in the student agreement related to participating in events where trauma and equines are a focus. Your emergency contact information will be kept confidential by the Schlote Psychotherapy Professional Corporation and its representatives.

SELECT YOUR TIMEZONE FOR PRACTICE MODULE ATTENDANCE

There are two options available; please choose the one that best fits your schedule based on your time zone.

Time Zones

The time zones listed here are:

  • AEST*: Australian Eastern Standard Time (UTC +10)
  • PDT: Pacific Daylight Time (UTC -7)
  • PST: Pacific Standard Time (UTC -8)
  • MDT: Mountain Daylight Time (UTC -6)
  • MST: Mountain Standard Time (UTC -7)
  • EDT: Eastern Daylight Time (UTC -4)
  • EST: Eastern Standard Time (UTC -5)
  • CEST: Central European Summer Time (UTC +2)
  • CET: Central European Time (UTC +1)

Standard or Daylight Time are not specified for Mountain, Pacific, or Eastern and are implied based on the dates. Please be sure to verify time zones and whether daylight savings applies in the area you are located.

*Please verify the AEST times listed in the calendar above, as not all Australian states observe daylight savings.

Timezone A:

(Accommodates Eastern North America / European or equivalent times)

Practice Module 1:

Friday July 12 to Monday July 15, 2024
2pm-9pm CEST / 8am-3pm EDT

 

Practice Module 2:

Friday December 6 to Monday December 9, 2024
2pm-9pm CET / 8am-3pm EST

 

Timezone B:

(Accommodates Western North America / Australasia or equivalent times)

Practice Module 1:
Friday August 9 to Monday August 12, 2024
2pm-9pm MDT / 6am-1pm AEST*

 

Practice Module 2:
Friday January 10 to Monday January 13, 2025
2pm-9pm MST / 7am-2pm AEST*

 

Make your selection:

EQUUSOMA® Student and Practitioner Agreement

Portions of this agreement have been adapted from Somatic Experiencing® International due to the degree of integration of the SE™ model in EQUUSOMA®.

 

Preamble: EQUUSOMA® students embark on an in-depth process of personal and professional development when taking part in the EQUUSOMA® program and its related offerings. Similar to other multi-level training programs, we have collected key program information and guidelines into one resource for ease of reference, the EQUUSOMA® Policies Handbook – Student and Practitioner Edition (September 2023 Revision). Since it is not possible to include all policies below, we ask that you review the Handbook prior to completing the present Agreement.

 

PLEASE CHECK THE BOX NEXT TO EACH SECTION TO INDICATE AGREEMENT.

 

Terminology:

  • “Faculty” refers to full faculty members and faculty in training.
  • “Team” refers to individuals who support EQUUSOMA® students in various capacities. The core team includes the founder, office manager, program liaison, and faculty (also referred to as “Administration” for the purposes of this document). Training assistants are also valuable team members. Team members are considered “agents” or “representatives” of the Schlote Psychotherapy Professional Corporation.
  • “Event” refers to various offerings related to EQUUSOMA®, including but not limited to Level 1 and Level 2 training components, bonus features, as well as other offerings that are separate from the EQUUSOMA® training program, such as webinars, workshops, master classes, special courses, or other experiences.
  • “Student” and “participant” are used interchangeably in this document.

Audiovisual and Media Waiver and Release Level 1 Modules

Please review the section in the current revision of the Policies Handbook about policies and parameters related to photography and videography in the EQUUSOMA® program before signing below.

Please proceed to the next step to enter your billing information.

If the form does not submit when you click next, scroll up to make sure you didn't forget to accept any conditions or fill in any fields. Missing information will be highlighted with a red box.

NEXT
2. BILLING INFORMATION
3. PURCHASE SUCCESS
1. CONTACT INFORMATION
ORDER SUMMARY
EQUUSOMA® Level 1: 2-payment plan
$2,550.00
Total
$2,550.00
FUTURE PAYMENTS
After today's payment, this card will be charged
$2,550.00 every 2 months for 1 payment
for EQUUSOMA® Level 1: 2-payment plan
Select payment plan:
Full Payment
2-Payment Plan
4-Payment Plan
6-Payment Plan

Canadian students are subject to the provincial or territorial tax where they reside. For students located outside of Canada, no tax applies. Tax will be calculated automatically based on the address you enter in the  billing section on the next page.

I fall in the following stream(s) of registrants for the Level 1 training program. Please check all that apply, and provide brief descriptions/designations in the box below:

Is there anything else we should know about you in order to support your learning as effectively as possible?

EMERGENCY CONTACTS

Please provide two emergency contacts, who will only be contacted if there is concern for your safety and well-being. This is due to the possible health risks listed in the student agreement related to participating in events where trauma and equines are a focus. Your emergency contact information will be kept confidential by the Schlote Psychotherapy Professional Corporation and its representatives.

SELECT YOUR TIMEZONE FOR PRACTICE MODULE ATTENDANCE

There are two options available; please choose the one that best fits your schedule based on your time zone.

Time Zones

The time zones listed here are:

  • AEST*: Australian Eastern Standard Time (UTC +10)
  • PDT: Pacific Daylight Time (UTC -7)
  • PST: Pacific Standard Time (UTC -8)
  • MDT: Mountain Daylight Time (UTC -6)
  • MST: Mountain Standard Time (UTC -7)
  • EDT: Eastern Daylight Time (UTC -4)
  • EST: Eastern Standard Time (UTC -5)
  • CEST: Central European Summer Time (UTC +2)
  • CET: Central European Time (UTC +1)

Standard or Daylight Time are not specified for Mountain, Pacific, or Eastern and are implied based on the dates. Please be sure to verify time zones and whether daylight savings applies in the area you are located.

*Please verify the AEST times listed in the calendar above, as not all Australian states observe daylight savings.

Timezone A:

(Accommodates Eastern North America / European or equivalent times)

Practice Module 1:

Friday July 12 to Monday July 15, 2024
2pm-9pm CEST / 8am-3pm EDT

 

Practice Module 2:

Friday December 6 to Monday December 9, 2024
2pm-9pm CET / 8am-3pm EST

 

Timezone B:

(Accommodates Western North America / Australasia or equivalent times)

Practice Module 1:
Friday August 9 to Monday August 12, 2024
2pm-9pm MDT / 6am-1pm AEST*

 

Practice Module 2:
Friday January 10 to Monday January 13, 2025
2pm-9pm MST / 7am-2pm AEST*

 

Make your selection:

EQUUSOMA® Student and Practitioner Agreement

Portions of this agreement have been adapted from Somatic Experiencing® International due to the degree of integration of the SE™ model in EQUUSOMA®.

 

Preamble: EQUUSOMA® students embark on an in-depth process of personal and professional development when taking part in the EQUUSOMA® program and its related offerings. Similar to other multi-level training programs, we have collected key program information and guidelines into one resource for ease of reference, the EQUUSOMA® Policies Handbook – Student and Practitioner Edition (September 2023 Revision). Since it is not possible to include all policies below, we ask that you review the Handbook prior to completing the present Agreement.

 

PLEASE CHECK THE BOX NEXT TO EACH SECTION TO INDICATE AGREEMENT.

 

Terminology:

  • “Faculty” refers to full faculty members and faculty in training.
  • “Team” refers to individuals who support EQUUSOMA® students in various capacities. The core team includes the founder, office manager, program liaison, and faculty (also referred to as “Administration” for the purposes of this document). Training assistants are also valuable team members. Team members are considered “agents” or “representatives” of the Schlote Psychotherapy Professional Corporation.
  • “Event” refers to various offerings related to EQUUSOMA®, including but not limited to Level 1 and Level 2 training components, bonus features, as well as other offerings that are separate from the EQUUSOMA® training program, such as webinars, workshops, master classes, special courses, or other experiences.
  • “Student” and “participant” are used interchangeably in this document.

Audiovisual and Media Waiver and Release Level 1 Modules

Please review the section in the current revision of the Policies Handbook about policies and parameters related to photography and videography in the EQUUSOMA® program before signing below.

Please proceed to the next step to enter your billing information.

If the form does not submit when you click next, scroll up to make sure you didn't forget to accept any conditions or fill in any fields. Missing information will be highlighted with a red box.

NEXT
2. BILLING INFORMATION
3. PURCHASE SUCCESS
1. CONTACT INFORMATION
ORDER SUMMARY
EQUUSOMA® Level 1: 4-payment plan
$1,275.00
Total
$1,275.00
FUTURE PAYMENTS
After today's payment, this card will be charged
$1,275.00 every month for 3 payments
for EQUUSOMA® Level 1: 4-payment plan
Select payment plan:
Full Payment
2-Payment Plan
4-Payment Plan
6-Payment Plan

Canadian students are subject to the provincial or territorial tax where they reside. For students located outside of Canada, no tax applies. Tax will be calculated automatically based on the address you enter in the  billing section on the next page.

I fall in the following stream(s) of registrants for the Level 1 training program. Please check all that apply, and provide brief descriptions/designations in the box below:

Is there anything else we should know about you in order to support your learning as effectively as possible?

EMERGENCY CONTACTS

Please provide two emergency contacts, who will only be contacted if there is concern for your safety and well-being. This is due to the possible health risks listed in the student agreement related to participating in events where trauma and equines are a focus. Your emergency contact information will be kept confidential by the Schlote Psychotherapy Professional Corporation and its representatives.

SELECT YOUR TIMEZONE FOR PRACTICE MODULE ATTENDANCE

There are two options available; please choose the one that best fits your schedule based on your time zone.

Time Zones

The time zones listed here are:

  • AEST*: Australian Eastern Standard Time (UTC +10)
  • PDT: Pacific Daylight Time (UTC -7)
  • PST: Pacific Standard Time (UTC -8)
  • MDT: Mountain Daylight Time (UTC -6)
  • MST: Mountain Standard Time (UTC -7)
  • EDT: Eastern Daylight Time (UTC -4)
  • EST: Eastern Standard Time (UTC -5)
  • CEST: Central European Summer Time (UTC +2)
  • CET: Central European Time (UTC +1)

Standard or Daylight Time are not specified for Mountain, Pacific, or Eastern and are implied based on the dates. Please be sure to verify time zones and whether daylight savings applies in the area you are located.

*Please verify the AEST times listed in the calendar above, as not all Australian states observe daylight savings.

Timezone A:

(Accommodates Eastern North America / European or equivalent times)

Practice Module 1:

Friday July 12 to Monday July 15, 2024
2pm-9pm CEST / 8am-3pm EDT

 

Practice Module 2:

Friday December 6 to Monday December 9, 2024
2pm-9pm CET / 8am-3pm EST

 

Timezone B:

(Accommodates Western North America / Australasia or equivalent times)

Practice Module 1:
Friday August 9 to Monday August 12, 2024
2pm-9pm MDT / 6am-1pm AEST*

 

Practice Module 2:
Friday January 10 to Monday January 13, 2025
2pm-9pm MST / 7am-2pm AEST*

 

Make your selection:

EQUUSOMA® Student and Practitioner Agreement

Portions of this agreement have been adapted from Somatic Experiencing® International due to the degree of integration of the SE™ model in EQUUSOMA®.

 

Preamble: EQUUSOMA® students embark on an in-depth process of personal and professional development when taking part in the EQUUSOMA® program and its related offerings. Similar to other multi-level training programs, we have collected key program information and guidelines into one resource for ease of reference, the EQUUSOMA® Policies Handbook – Student and Practitioner Edition (September 2023 Revision). Since it is not possible to include all policies below, we ask that you review the Handbook prior to completing the present Agreement.

 

PLEASE CHECK THE BOX NEXT TO EACH SECTION TO INDICATE AGREEMENT.

 

Terminology:

  • “Faculty” refers to full faculty members and faculty in training.
  • “Team” refers to individuals who support EQUUSOMA® students in various capacities. The core team includes the founder, office manager, program liaison, and faculty (also referred to as “Administration” for the purposes of this document). Training assistants are also valuable team members. Team members are considered “agents” or “representatives” of the Schlote Psychotherapy Professional Corporation.
  • “Event” refers to various offerings related to EQUUSOMA®, including but not limited to Level 1 and Level 2 training components, bonus features, as well as other offerings that are separate from the EQUUSOMA® training program, such as webinars, workshops, master classes, special courses, or other experiences.
  • “Student” and “participant” are used interchangeably in this document.

Audiovisual and Media Waiver and Release Level 1 Modules

Please review the section in the current revision of the Policies Handbook about policies and parameters related to photography and videography in the EQUUSOMA® program before signing below.

Please proceed to the next step to enter your billing information.

If the form does not submit when you click next, scroll up to make sure you didn't forget to accept any conditions or fill in any fields. Missing information will be highlighted with a red box.

NEXT
2. BILLING INFORMATION
3. PURCHASE SUCCESS
1. CONTACT INFORMATION
ORDER SUMMARY
EQUUSOMA® Level 1: 6-payment plan
$850.00
Total
$850.00
FUTURE PAYMENTS
After today's payment, this card will be charged
$850.00 every month for 5 payments
for EQUUSOMA® Level 1: 6-payment plan
Select payment plan:
Full Payment
2-Payment Plan
4-Payment Plan
6-Payment Plan

Canadian students are subject to the provincial or territorial tax where they reside. For students located outside of Canada, no tax applies. Tax will be calculated automatically based on the address you enter in the  billing section on the next page.

I fall in the following stream(s) of registrants for the Level 1 training program. Please check all that apply, and provide brief descriptions/designations in the box below:

Is there anything else we should know about you in order to support your learning as effectively as possible?

EMERGENCY CONTACTS

Please provide two emergency contacts, who will only be contacted if there is concern for your safety and well-being. This is due to the possible health risks listed in the student agreement related to participating in events where trauma and equines are a focus. Your emergency contact information will be kept confidential by the Schlote Psychotherapy Professional Corporation and its representatives.

SELECT YOUR TIMEZONE FOR PRACTICE MODULE ATTENDANCE

There are two options available; please choose the one that best fits your schedule based on your time zone.

Time Zones

The time zones listed here are:

  • AEST*: Australian Eastern Standard Time (UTC +10)
  • PDT: Pacific Daylight Time (UTC -7)
  • PST: Pacific Standard Time (UTC -8)
  • MDT: Mountain Daylight Time (UTC -6)
  • MST: Mountain Standard Time (UTC -7)
  • EDT: Eastern Daylight Time (UTC -4)
  • EST: Eastern Standard Time (UTC -5)
  • CEST: Central European Summer Time (UTC +2)
  • CET: Central European Time (UTC +1)

Standard or Daylight Time are not specified for Mountain, Pacific, or Eastern and are implied based on the dates. Please be sure to verify time zones and whether daylight savings applies in the area you are located.

*Please verify the AEST times listed in the calendar above, as not all Australian states observe daylight savings.

Timezone A:

(Accommodates Eastern North America / European or equivalent times)

Practice Module 1:

Friday July 12 to Monday July 15, 2024
2pm-9pm CEST / 8am-3pm EDT

 

Practice Module 2:

Friday December 6 to Monday December 9, 2024
2pm-9pm CET / 8am-3pm EST

 

Timezone B:

(Accommodates Western North America / Australasia or equivalent times)

Practice Module 1:
Friday August 9 to Monday August 12, 2024
2pm-9pm MDT / 6am-1pm AEST*

 

Practice Module 2:
Friday January 10 to Monday January 13, 2025
2pm-9pm MST / 7am-2pm AEST*

 

Make your selection:

EQUUSOMA® Student and Practitioner Agreement

Portions of this agreement have been adapted from Somatic Experiencing® International due to the degree of integration of the SE™ model in EQUUSOMA®.

 

Preamble: EQUUSOMA® students embark on an in-depth process of personal and professional development when taking part in the EQUUSOMA® program and its related offerings. Similar to other multi-level training programs, we have collected key program information and guidelines into one resource for ease of reference, the EQUUSOMA® Policies Handbook – Student and Practitioner Edition (September 2023 Revision). Since it is not possible to include all policies below, we ask that you review the Handbook prior to completing the present Agreement.

 

PLEASE CHECK THE BOX NEXT TO EACH SECTION TO INDICATE AGREEMENT.

 

Terminology:

  • “Faculty” refers to full faculty members and faculty in training.
  • “Team” refers to individuals who support EQUUSOMA® students in various capacities. The core team includes the founder, office manager, program liaison, and faculty (also referred to as “Administration” for the purposes of this document). Training assistants are also valuable team members. Team members are considered “agents” or “representatives” of the Schlote Psychotherapy Professional Corporation.
  • “Event” refers to various offerings related to EQUUSOMA®, including but not limited to Level 1 and Level 2 training components, bonus features, as well as other offerings that are separate from the EQUUSOMA® training program, such as webinars, workshops, master classes, special courses, or other experiences.
  • “Student” and “participant” are used interchangeably in this document.

Audiovisual and Media Waiver and Release Level 1 Modules

Please review the section in the current revision of the Policies Handbook about policies and parameters related to photography and videography in the EQUUSOMA® program before signing below.

Please proceed to the next step to enter your billing information.

If the form does not submit when you click next, scroll up to make sure you didn't forget to accept any conditions or fill in any fields. Missing information will be highlighted with a red box.

NEXT
2. BILLING INFORMATION
3. PURCHASE SUCCESS