Cultivating Culture: Reclaiming Your Place in the Family of Beings - Enrollment Form
Welcome! I am thrilled you're here and I can't wait to learn more about you through the following questions. This is an opportunity to hear how you're orienting and showing up to this experience and to support you in feeling met as fully as possible in this process.

Please share as much and as informally as you'd like — type in bullet points, stream of consciousness, whatever feels right to you. 

The waitlist for this course is growing quickly. By completing this form and contributing your refundable deposit, you will reserve one of the limited spots available. If you would like to express interest in the course but need time to confirm commitment, you can indicate that somewhere in these responses.

Thank you!

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メールアドレス *
Name & Pronouns *
How did you hear about this experience? *
Where are you located? Who are the first peoples of the place you are in? (If you don’t know, this resource may help www.native-land.ca) *
What came up for you as you read the invitation? What did you feel in your body? *
What draws you to this experience? What hopes and expectations do you hold? What questions? *
Is there anything you would like to share about how you orient toward your identity?
Is there anything you need to feel seen and supported during this experience?
Do you have any access needs? Please include any specific accommodation requests.
Is there anything else you'd like to share or do you have any questions?
Are the sliding scale price options accessible for you or would you like to talk about payment plans or other options? If this range works for you, please provide the amount you can contribute within it. If you would like to pursue a payment plan, please provide the increments/schedule that works for you. If you need to consider, no problem, let me know. *
Thank you so much for completing this form!
Please send a deposit of $50 to reserve your space to @HeyRachel on Venmo. This deposit will be deducted from your full payment, so if you are contributing $600, your remaining balance will be $550. If you do not have Venmo please let me know in the question above. You are also welcome/encouraged to submit your first incremental payment or your full course contribution in lieu of the deposit. If something arises and you can no longer participate in the course, your contributions will be refunded. Your deposit/contribution ensures that you have a spot within a limited capacity of participants. Thank you!
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