6-WEEK COURSE REGISTRATION & DONATION
(Q) CULTIVATING EMOTIONAL BALANCE
6-Week Course for LGBTQQI+ Community
w/ Teague O'Malley

Sundays from September 27 to November 1, 2020
9-11:30am Pacific
12-2:30pm Eastern

***Class size is limited.*** Please register early to guarantee your spot.

To register for this course, please fill out and submit the below questionnaire.
Donation information is included at the bottom.

Once your registration is confirmed, you will receive a welcome email including the Zoom link for class.

Questions? Please email teagueomalley@gmail.com
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Email *
Name *
First and last name.  (Please include name you preferred to be called during course)
Preferred Pronouns *
Please describe your intentions for taking this course: *
Briefly describe any previous meditation experience:   (Previous experience is not required to take this course.) *
In the past three years, have you been diagnosed with any psychological conditions, experienced significant trauma, and/or suicidal thoughts? Are you currently on medication prescribed by a mental health professional? If yes to any of the above, please briefly describe below. If no, type N/A.  ***Answers are strictly confidential and will only be seen by the instructor. *
Any other information or comments you would like to add for the instructor?
Please confirm: "I have read the full course details. I am able to attend all 6 weekly classes, intend to practice for 30 mins daily, and meet the technology requirements as outlined in the course overview." *
Required
Please confirm: "I understand this course is open to individuals in the LGBTQQI+ community, those identifying as non-binary, or individuals questioning their sexual orientation and/or gender identity." *
Required
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