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Rooted & Regulated: A Healing Circle 
Welcome!

"Rooted & Regulated" is a healing circle designed to support individuals on their journey toward emotional grounding, nervous system regulation, and community connection. Please complete this form to register.

🕊️ Your responses are confidential and will only be used for registration and planning purposes.


Email *
Full Name *
Email address *
Phone Number *
Pronouns
How did you hear about this group?
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What draws you to this healing circle?
Do you have any access needs or accommodations we should be aware of? *
Would you like to receive updates about future groups or events?
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A copy of your responses will be emailed to .
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