Shine 2022 Online/Hybrid Workshop Registration

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Commune. Connect. Contemplate. Create. We will take time to nest and look forward and back. We will meditate, engage in a Mindful Self-Compassion practice or two, and share our hopes and dreams. Embrace this winter with greater peace, clarity and intention. This hybrid workshop will be held online (via Zoom) and off, giving you the time and space between Zoom sessions to slow down and connect with yourself and others during the times we share. We will engage in a creative undertaking (writing, vision board, nature walk, painting/drawing, life line, planning...you decide) that sets the tone for 2022. There will be time to 'show and tell'. Come with your favourite beverage! Community is the elixir of life. Let's make 2022 shine!

register below • more info at: compassionatemess.com/events • *scholarships available • 2 for $120 USD

Email *

I wish to register for the Shine workshop and will attend both sessions. *

Yes

Required

First Name *

Last Name *

The city I will be located in during that session is: *

Birthdate

YYYY

Phone Number incl. area code *

Facebook profile address if on FB, so that you can be added to the support group:

The creative modalities I would love to explore for my New Year project or task include (check all that apply): *

Walking

Talking

Making art

Making music

Writing/journaling

Mindful photograph

Reading something I want to read

Meditation

Ritual

Feng shui my house, etc.

Taking action on something to empower myself

Other:

Required

I will pay by *

PayPal - using my credit card or account

Bank Transfer

It doesn't matter; advise me.

I would like to request a scholarship which amounts to a $30 USD discount or full tuition waiver for this event. *

Yes

Required

If requesting a scholarship, please share your reason for requesting this scholarship (explain any difficult or extenuating circumstances) and how much if anything you are able to pay:

If you are attending WITH a friend, please identify the friend by name and provide the email of that person. Your fee each is $60 USD. If not applicable, put 'n/a' below. *

What I would love to get out of this 2-day experience is: *

I verify that I am not experiencing any significant trauma or if I am, I am under the care of a psychologist or psychotherapist or other allied health professional; and I do not hold Lorelei Loveridge legally or personally responsible for any emotional distress/difficulty experienced during or after this session. *

I am not in need of a therapist at this time.

I am under the care of a therapist at this time.

I accept full responsibility for drawing boundaries around my feelings in the session and do not hold Lorelei Loveridge legally accountable for my emotional responses during or after the workshop.

Required

Please elaborate on your circumstances/needs if you are on medication or under the treatment of a therapist at this time. This will not exclude you from taking the course, but I will discuss the course with you, which is not designed to trigger trauma but some aspects of it may trigger strong emotions. The purpose is to mitigate this and ensure you are supported and in control. You may choose to opt out of any activities to look after your needs.

Are you dealing with any difficult issues at this time that you would like me to know about? Please explain in brief if so. Leave blank if not.

Declaration: I do not hold Lorelei Loveridge legally responsible for my experience during this workshop. (Type your full name as a signature.)

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