BIPOC Support Groups Registration Form
Motivate Wellness: Healing & Sexuality Coaching is pleased to partner with Healing Through Change, INC. to offer support groups for BIPOC population all meeting will now be meeting online & In-person. To ensure confidentiality and safety for all participants, we are asking that people register in order to receive an invitation to join the online meeting and the in-person meetings. The only information we are collecting is an email address where we can send the invitation and the name of the person who is joining the group. No identifying information about participants, including the email address used to register, will be stored or shared with any person, organization, or entity.

Invitations with a link to the meeting are sent in an email to each person who registers. We send that email on Mondays and then send a reminder on Wednesdays. You only have to register once -- we will send a reminder email with a fresh link each week (and you can opt-out at any time).

***You will not immediately receive a confirmation email after you register. We send invitation emails on Mondays and Wednesdays, so it may take a few days for you to receive your invitation email.***

Registration forms will be accepted through the end of the day prior to the meeting (i.e. Wednesday night for a Thursday meeting). If you submit registration on the day of the meeting, you will receive an invitation for the following week. Final invitation emails will be sent on the morning of the meeting. For example, a person who registers on Wednesday night at 11pm will receive their invitation on Thursday morning for that day's meeting, but a person who registers on Friday will receive an invitation the following week's meeting.

If you are interested in participating but don't feel safe using this form, please contact htcnonprofit@gmail.com.

Starting in January 2022, BIPOC Support Group will be meeting on:
1st and 3rd Thursday of each month from 5:30- 7pm. (CST) = In-Person
2nd and 4th Wednesday of each month from 4:30 pm - 6:00 pm. (CST) = On-line
 
Cost is $50.00 per session * Required

About our support groups:
Healing Through Change, INC online support groups will use Zoom. Zoom is HIPAA compliant, which means that your privacy will be protected. However, Zoom is a 3rd party platform, so we cannot guarantee protection from malicious eavesdropping. Zoom is easily accessible through any web browser. You don't have to make an account or download anything, though you can make an account and/or download the app for your own convenience. If you would like to participate but don't have access to these tools, please contact us and we can arrange for you to call in over the phone line.

Participants will be asked to adhere to a high level of confidentiality and privacy for all involved. We are asking that participants join the meeting from a private area where others can't see their screen. Participants may choose whether or not to turn on their webcam and can choose to identify themselves with any name they choose. Please be prompt -- the meeting will be locked after 15 minutes, so you will not be able to enter late.
To register for the BIPOC Online Support Group, which meets on the 1st and 3rd Thursdays of each month from 5:30pm - 7:00pm, please enter your email address here.

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Email *
Name of Person Attending? (This information is only used for registration/invoice purposes) This isn't shared with anyone outside of admin. *
Which Group Session will you be participating in? *
Do you have any questions or feedback about BIPOC online support groups?
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