Trauma-Informed Grief Support - Application
Event Timing: January 26th & 27th, 2023
Thursday 9:30am-2:30pm & Friday 9:30am-2:30pm (Pacific time)

Online via Zoom
Contact Info: shaunajanz@gmail.com

After I receive your application, I will endeavour to be in touch with you within 5 days for next steps and with payment options. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Name & Pronouns
 *
Organization or Business you are affiliated with, if any
Please provide a brief description of the helping role or support context you are coming from, and what draws you to this workshop. Thank you.
*
Do you have any accessibility or learning needs that you want me to be aware of?
By sending in your application you are agreeing that you are willing and able to fully attend both days, to participate in smaller group breakouts when invited, and to have your camera on (unless otherwise invited for certain exercises, or unless you have an accessibility request).
*
Required
Please indicate which pricing tier you would be able to pay given your access to resources and financial context.
 *
Please indicate which currency you will be paying. (Those residing in Canada, CAD currency, those residing outside Canada, USD currency)
 *
Are you someone who has the capacity/willingness to donate towards a sponsorship spot? If yes, I will be in touch to discuss more. Thank you.
Clear selection
I understand that I will receive a full refund, minus a $25 admin fee, if I withdraw from the workshop before Thursday, January 19th, 2023. I understand that if I withdraw from the workshop on January 19th, 2023 or thereafter, I will receive a 50% refund, unless my place can be filled by another applicant upon which I will receive my full refund, minus the $25 admin fee.

*
Required
Consent and Liability Waiver Agreement:

I understand that this workshop through Sacred Grief - Shauna Janz is for educational and training purposes. It is not therapy, although it will likely have therapeutic benefit. I understand I might experience some emotional, mental, spiritual or physical learning edges or stress (growing pains) and that participating in this workshop may facilitate personal healing as a by-product of my participation. I understand that I am encouraged to have additional resources outside of this workshop setting should I need further support.

I agree willingly to release from any claim Sacred Grief/Shauna Janz, any workshop supporters, or any other workshop participants from responsibility for any of the possible learning edges or stress responses aforementioned.
*
Is there anything else you would like me to know about you, your application or your interest in this workshop? Thank you.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms