WHM Registration: The Gifts of Motherhood
I'm so glad you'll be joining: The Gifts of Motherhood an 8-week series beginning Sunday, Jan 15th until April 29th/30th (bi-weekly 7:30-9PM as a hybrid in-person/virtual model). This offering is deeply inspired by the training I've done this Fall: The Village- A Matrescence Apprenticeship with Jessie Harrold. I trust this will be a rich time of connection with others and yourself that will support you as you navigate your motherhood role and identity.

In addition to this form, I will send along an invoice to your email for non-refundable deposit of $125 (to go towards the cost of this series). The series is $500 (or $62.50/session). Receipts can be issued for each session so you can submit them for extended health benefit coverage of a Registered Social Worker (RSW). 

Let me know if you have any questions or concerns. So looking forward to this time together!
Sign in to Google to save your progress. Learn more
Name *
Email *
Is there anything that would help you to feel safe/supported from a Covid and health-safety perspective? 
NOTE: I will do my best to accommodate your needs and preferences, recognizing there may be diverse needs/hopes. This will be communicated in advance so you know what to expect. 
How comfortable are you with talking/sharing in a group setting?  *
Very uncomfortable (I'd rather not share much)
Very comfortable (I love sharing in a group setting)
What are your hopes in joining this series? What would you love to learn/leave with? *
Do you have any food allergies/dietary restrictions? *
Are there any other accommodations you need to feel supported as you participate? *
Many thanks for taking the time to fill this in. So looking forward to having you along for this journey!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of tapestrycc.com. Report Abuse