This form is only for our mission students with a diagnosis or disability. If you do not have a diagnosis or disability, please click HERE. First and Last Name Age 18 or older 17 or younger Email Phone Number- only used if there is an issue with email Home Address - only used if sending material packs or tools. Please share why you are interested in taking a course with us: Which course would you like to attend? 12/3/24 - Finishing Made Easy 12/10/24 - How to Use a Hand Plane 12/14/24 - Christmas Marquetry 1/25/25 - In-Person - Dovetails 101 1/25/25 - Virtual - Dovetails 101 2/8/25 - In-Person - Panel Guage w/ Hardware and Lumber 2/8/25 - Virtual - Panel Guage w/ Hardware Only 2/8/25 - Virtual - Panel Guage w/ Hardware and Lumber Please upload documentation of your diagnosis or disability. The document must show your diagnosis and full name. It can be an After Visit Summary, letter from a doctor or therapist, psychological evaluation, military documents, etc. (If you have already been accepted for a free course, you can skip this part) Do you need any of the required TOOLS to participate? If yes, what tools? Do you need any of the required LUMBER to participate? If yes, what lumber? If you have requested tools or lumber please upload any proof of government benefits from a mental health or disability diagnosis. (Social Security Disability Benefits, VA benefits, ect.) I understand and accept the Terms and Conditions outlined in the link below this registration form. I understand and accept I do not understand Do you need any visual, audio, or physical accommodations to participate in the course? Additional Comments: Send By registering and/or participating in a Plane Wellness course or training, whether virtual or in person, you agree to our Terms & Conditions. Terms & Conditions