Shamanism 101   study shamanism - shamanic healing training - learn shamanism online
Student Registration Data Form

Student Registration Data Form

Please use the following Student Registration Data Form by copying the following into an email, filling it out completely, and sending to 

After sending this information form to registration, you are ready to enroll by going to (our secure Enrollment and Tuition 'Office' site) to sign up and pay for your course..

Enrollment is a 2-step process.
Registration cannot admit you to a course until they receive both 
your completed Student Registration Data form and notification of your tuition payment.

All courses are $290.USD which includes private mentorship.
All material submitted is confidential and private. For complete Privacy Notice click here.

(Start of Student Registration Data Form)

Student Registration Data Form

Please complete all sections below. Provide some detail regarding previous training, experiences and goals. 

(1) Full Name: (as you would want it on a completion certificate) 

(2) Email:

(3) Verify Email:

(4) Name under which your tuition payment is coming to us: (this is crucial: many PayPal or credit card payments come in under names other than that of the student, such as a spouse, or personal business name, or another alias. We need to know the name under which the payment comes in as so we can identify the payment as yours and mark your tuition as being paid.)

(5) City and Country:

(6) What personal characteristics encourage your shamanic studies?:

7) What shamanic training or experiences have you had?: 

(8) Use of Quotes: indicate yes we can use, or no we cannot use (for further information see Use of Quotes section * below) :

(9) Age: (Must be over age 18, or have parent send to Shamanism 101 an agreement for their minor to take this training.)

(10) Support Newsletter: Please sign up for the student support newsletter.

(11) Terms of Responsibility and Liability: indicate by writing 'I agree' or 'I do not agree' to the terms below. Your consent and agreement is required for admission to Shamanism 101 training. 
(at the bottom of this page: follow this link** to read the Terms of Responsibility and Liability).
    Indicate below, 'I agree' or 'I disagree':  

(12) You are invited to add any comments to let us know more about you and your goals.  

(end of Student Registration Data Form)

Great! Registration looks forward to introducing you to your teacher as soon as they get both this Data Form and notice of your tuition payment, which also serves as your enrollment. Make sure you read the notices below on use of quotes, terms of responsibility and liability, and the privacy note.

Just copy and paste this Student Registration Data Form (all of the above) into your email, fully complete it, and send to:

The registrar will need the above data sheet in order to enroll you in your course, connect you with your instructor, and get you started. 

If you have not done so yet, head over to take care of tuition and learn much more about our courses, by going to our Enrollment and Tuition 'office' which is at:

Please Note!
We want to start you just as badly as you want to get started!
Registration cannot connect you with your teacher until they receive both your Student Registration Data Form (above) and notice of tuition payment (which they will receive from PayPal or the Bank.)

All courses including private mentorship are $290. USD

Wow... You did it! Welcome to Shamanism 101 !!!!!

Privacy Notice: (To read the Shamanism 101 privacy notice follow this link to the notice below ***)
 * Use of Quotes:  This indicates your consent for Shamanism 101's use of anonymous quotes in books, articles, public awareness materials and publications including on the internet. All quoted material that could reasonably identify its source will be removed or altered to preserve confidentiality unless the author gives explicit written permission for their identification, such as in the publication of a photo, letter, etc.

 ** Terms of Responsibility and Liability:   I promise to not do shamanic work that involves any degree of change of consciousness while in any situation for which common-sense or law would suggest or require that I have my full attention. This would include such activities as driving a vehicle or operating any kind of hazardous machinery, or otherwise placing myself in a potentially dangerous position, such as when climbing a tree, standing or sitting on a rock ledge, being near a roadway, etc. I am taking shamanic training recognizing that such work can destabilize my self identity and my relationship with the world around me, and that this can be very discomforting. I realize I have the authority to do or not do any of the exercises offered in any of the three levels of training, and that this will not jeopardize my passing the courses. I do not hold Dr. Steve Serr, Shamanism 101, or anyone related to this course series (such as teachers, mentors and staff) responsible for anything that happens to me that is in any way related to anything I am being taught, and in any way a consequence of my undertaking this training. By taking part in this training I do not and will not ever hold Dr. Steve Serr, Shamanism 101, or anyone related to this person or this training program liable for anything I ever believe might be damaging to me in any way. Instead, I recognize and completely accept my own authority to learn, participate in, and derive and accept the consequences of this training. By agreeing to this I will have asked for answers from Shamanism 101, LLC to any questions, uncertainties or discomfort I have about this training before I have begun, and that I will continue to ask my teachers and mentors at Shamanism 101, LLC as soon as any discomfort or uncertainty comes up regarding how I feel impacted by this education and training if there is even the barest hint of uncertainty or discomfort.

 *** Privacy Notice:  
Shamanism 101 completely understands the need for privacy and confidentiality and assures you of this. This privacy notice discloses the privacy practices for and our secure site at . This privacy notice applies solely to information collected by this web site. 
You have a right to know the following: 
What personally identifiable information is collected from you through the web site, how it is used and with whom it may be shared. 
What choices are available to you regarding the use of your data. 
The security procedures in place to protect the misuse of your information. 
How you can correct any inaccuracies in the information. 
When you submit information via this website form, your information is protected both online and offline. The Shamanism 101 staff takes standard business precautions to protect your information, meaning that reasonable precautions are made so that it is not available to others. 
Information collected on this form is viewed solely by Shamanism 101 instructors and staff and is used strictly to enable feedback to students who submit course materials and who are looking for feedback on these materials. We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email, enrollment form, or other direct contact from you.  We will not sell or rent this information to anyone. 
If you decide not enroll you can ask Shamanism 101 to delete and destroy your enrollment application, by emailing drserr@shamanism-101 and making this request, and your request will be promptly completed. 
Otherwise this data remains the property of Shamanism 101 in order to maintain complete student records of persons who enroll. We will use your information to respond to you, regarding the reason you contacted us.  We will not share your information with any third party outside of our organization, other than as necessary to fulfill a specific request limited to what you ask that you give to us in writing, e.g. to connect you to a fellow student. Wherever we collect personal information, such as you name, address, etc. which you voluntarily provide on the enrollment form, that information is restricted to Dr. Serr, teaching assistants or other employees and used solely for the purposes of contacting you and facilitating your coursework at Shamanism 101 or responding to any other need that you specifically request in writing. Only employees who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information that you provide to us to receive our periodic support newsletter are kept in a secure environment at Course enrollment information removed from online as soon as it is received and filed securely at the Shamanism 101 office. 
Unless you ask us not to, we may contact you via email in the future to tell you about training events, courses or certifications, or changes to this privacy policy. 
Your Access to and Control Over Information: 
We contact you through personal email in response to yours, or periodically through the Shamanism 101 Practitioner Newsletter. You may opt out of any future personal contacts from us at any time by contacting us via the email address given on our website and letting us know that, and if you are subscribing to the Practitioner Newsletter, you may opt out of that by selecting the 'opt out' link that is always included at the bottom of every newsletter. 
See what data we have about you, if any. 
Change/correct any data we have about you. 
Those who do not become students can have us delete any data we have about you. 

Express any concern you have about our use of your data. 

Your data and its confidentiality is important to us. If you feel in any way that we are not abiding by this privacy policy, you should contact us immediately via email at