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Heartful Rootz Membership Profile + Newsletter 
This is more than a profile — it is part of building community together. What you share helps us better understand your needs, your gifts, your hopes, and the kind of wellness space that would truly support you and your family. Together, we are shaping a space rooted in belonging, and we are grateful to grow this work in a spirit of care, reciprocity, belonging, and shared healing.  


Once you complete this profile, please circle back to our Support page and select the contribution amount that feels right for you, whether monthly or custom. 
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Email *
Name *
Socail media handles *
How do you identify?
Share any identities, communities, or descriptions that feel true to you. *
Preffered Medium to communicate with  *
Required
Phone Number *
Mailing Address *
Heritage *
Birthday
Are you entering a giveaway? 
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Newsletter- Subscribing to: 
 *
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Membership type *
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Your Monthly Contribution Amount  *
Support you want, how can this space hold you best? What would help you feel most welcomed?  *
What is inspiring you to become a contributing member? *
Skills you want to share in support
Holistic Care needs *
Required
Which Collab Cafe gatherings would you be most interested in joining?
Collab Cafe is a welcoming space for Black, Indigenous, and People of the Global Majority (BIPGM) community members who want to build meaningful relationships, share skills and resources, nurture creativity and wellness, and grow a deeper support system together. Please select any gatherings that interest you. Starting in October 2026 *
Required
Which herbalism classes are you interested in?
These classes are open to everyone. You are welcome to come to one class, a few classes, or as many as you would like—whether you are brand new to herbs or already have experience. Please select all topics that interest you. *
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Items you like , list your favorites *
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Spiritual and Community Interests
Would you like us to send you a welcome info kit you can share with friends, family, coworkers or community to invite them to become members?  *
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How did you hear about us? *
We’d love to get to know you more. Use this space to share anything about your family, your desires, your hopes, and what you want a community wellness space to really include. You can also tell us what would help you feel welcomed, supported, and cared for in community.  
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