Name *

Email *

Age Group

Religious Background and/or Affiliation

I currently belong to/participate with a faith community/place of worship. *

How did you hear about The Walk?

Please describe why you are interested in this course. *

The Walk is a spiritual, financial, and time investment, and may have a strong emotional component for you. Please indicate below your readiness to engage the full process. *

I need assistance paying for this course. *

I have experienced or am experiencing a significant episode of doubt, "distance from God," and/or loss of faith *

I have gone through trauma inflicted by a faith community. *

If you answered "yes" to either of the above two questions, please briefly describe your crisis of faith and/or faith community trauma, and indicate if you would like to discuss this with Jennifer Layte prior to the start of the course.

Preferred Day/Time