Soverin Ranch Bootcamp Enrollment Questionnaire Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Tell us why you want to attend? * Do you have any life threatening allergies? * Yes No I have dietary restrictions * Yes No If you have allergies. Please explain Abusive Behavior Disclaimer * Physical, mental, verbal or sexual assault and/or abuse are not tolerated at Soverin Ranch. If I attend, I agree to treat staff, myself and other attendees with respect? If any of these are violated, I understand I will be asked to leave by security staff. I agree Partial Outdoor Disclaimer * As a working ranch, Soverin Ranch has animals and some of the activities are held outdoors, I am open to fully participating in outdoor activities? I agree Participation Disclaimer * At Soverin Ranch, health & safety are the utmost priority. Though I understand I may be asked to participate in educational, physical mental & emotional exercises that may challenge my comfort zones, but fully plan to show up on time daily from 8am-5pm, and participate with the program and instruction of Soverin Ranch leadership. I agree Bodily Harm Disclaimer * At Soverin Ranch, health & safety are the utmost priority. Though I understand Soverin Ranch animals, equipment and environments, could be dangerous if instructions aren't closely followed. I understand I will be asked to sign a release before arrival. I agree I HAVE interest in the following elective areas. * Family/Relationship Counseling Strongly Disagree Disagree Neutral Agree Strongly Agree Addiction Recovery Strongly Disagree Disagree Neutral Agree Strongly Agree Entrepreneurship Strongly Disagree Disagree Neutral Agree Strongly Agree Volunteering Strongly Disagree Disagree Neutral Agree Strongly Agree Anger Management Strongly Disagree Disagree Neutral Agree Strongly Agree Job Placement Strongly Disagree Disagree Neutral Agree Strongly Agree Crypto Currency Education Strongly Disagree Disagree Neutral Agree Strongly Agree Home Ownership Strongly Disagree Disagree Neutral Agree Strongly Agree Farming/Ranching/Horsemanship Strongly Disagree Disagree Neutral Agree Strongly Agree Trade Skills (Construction, Fabrication, electric, plumbing etc.) Strongly Disagree Disagree Neutral Agree Strongly Agree Real Estate Sales Strongly Disagree Disagree Neutral Agree Strongly Agree Food Industry Strongly Disagree Disagree Neutral Agree Strongly Agree Auto Repair Strongly Disagree Disagree Neutral Agree Strongly Agree Website/Marketing/Advertising Strongly Disagree Disagree Neutral Agree Strongly Agree GED/College Strongly Disagree Disagree Neutral Agree Strongly Agree Religious/Spiritual study Strongly Disagree Disagree Neutral Agree Strongly Agree I need Wheelchair access * Yes No I have a physical or mental disability * Yes No Thank you!
