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SpiritRootMedicinePeople -Medicine Circle Registration
Indigenous Two Spirit Lifeways
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Gender Pronoun
*
Your answer
How did you find out about this offering?
*
Friend
Instagram
Facebook
Email
How do you identify? Check all that apply.
*
Native American
Indigenous
Afro-Indigenous
Pacific Islander
Asian
Asian American
African American
African
Caribbean
Arab
Latinx
Caucasian
Other
Required
Do you identify as LGBTQI and/or two-spirit?
*
Yes
No
What is your age range?
*
3 to 10 years old
11 to 20 years old
21 to 40 years old
41 to 60 years old
61 to 80 years old
What is your intention in coming to this circle?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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