Individual Checkout (All Access)

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Training Level

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Certification Status

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Course Status

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Membership Plan

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Membership Level ID

Get the User's Membership Level

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Course Name

Primary Email*

Type*

Primary Phone*

Type*

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Alternate Phone

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Type

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Work Email

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Personal Email

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Work Phone

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Mobile Phone

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Home Phone

Field of Work*

Select whichever is most true.

I plan to use TimeSlips with:*

Select all that apply.

Other Use*

What inspired you to sign up today?*

Referral Full Name*

Other Source*

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Social Media Handles

We love to follow our members! Please provide your social media handles (not the entire url) so we can connect.

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Facebook

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Twitter

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Instagram

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TikTok

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Website

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Help us get to know you better.

The following information will be kept private. This data is required by our funders, and helps us better meet our members' needs.

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Education

Select the highest level completed.

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Personal Pronouns*

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Sexual Identity*

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Accessibility Needs*

Use ctrl+click (Windows) or cmd+click (Mac) to make multiple selections.

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Other Ethnicity*

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Ethnicity*

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Other Ethnicity*

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Native Language

Use ctrl+click (Windows) or cmd+click (Mac) to make multiple selections.

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Other Native Language

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What are your goals?

TimeSlips' programs are ideal for small and large group programs. Help us understand your personal or organizational goals for our programs.

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Program Benefits*

What do you hope to gain from the TimeSlips membership?

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Beautiful Question*

If you had a super power what would it be?

Payment

Individual Training & Certification provides individuals with access to the creativity center, online training and certification, newsletters, special professional development and webinars and consultation with a TimeSlips Program staff member.

To process your payment, you'll be taken to a secure page hosted by Stripe, our trusted payment processor.

Please note, membership fees are non-refundable and non-transferable.

TimeSlips Individual Certification

Name

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REGISTER FOR INDIVIDUAL TRAINING & CERTIFICATION

Social Media Handles

Help us get to know you better.

What are your goals?

Payment