Empowerment through the Arts™ Participant Sign-Up Form
I'm so glad to see you here. I'm looking forward to partnering with you in uncovering your specific keys to preventing future predatory relationships.

This form will allow you to be placed on the list for our 6-week, group, alternative treatment plan. Due to the very intimate work you do in these sessions and the free-flowing nature of the art forms we use, there are only 4 women in it at a time. At present, I am the sole facilitator; therefore, we will do this strictly on a first-come, first-serve basis, matching your schedule availability to form each class.

Each time spots are available, 4 women will comprise the subsequent groups.

You will be emailed when a spot is available; please be watching for it. (**Spots currently open!**) The session schedule will be based on participant/facilitator availability; please be accurate in sharing your availability on this form.

IMPORTANT: We KNOW your privacy and safety are important. Please know we will NOT share any of this information with anyone who is NOT coordinating this program!

I can't wait to work with you, Beautiful!

Blessings,
Courageous Fire, Survivor & Developer of Empowerment through the Arts™
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If you have other times you are available for time slots that were not listed above, please indicate below: *
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