WTR for PDX Parents/Caretakers Registration

Hello!

Thank you for registering for this Work That Reconnects experience for PDX Parents/Caretakers/Teachers. I'm looking forward to spending this time with you, learning and growing together so we can show up for our children with the presence and courage that they need from us.

Our time together will be an interactive, focused group experience from 2pm to 5pm on Sunday September 22nd at Taborspace in SE Portland, OR. Please arrive 10-15 minutes before 2pm and be prepared to stay for the entire experience. It is for adults only and childcare will not be provided.

This registration form includes a "social locator." It is designed to give me an idea of the rich and diverse backgrounds of the people who will be gathering for this event. This helps me prepare in a way that honors the beauty and uniqueness of each participant by creating a space that is radically inclusive. Please respond as best as feels accurate at this time in your life. You can share as much or as little as you are comfortable with. The information shared in this form will be held in confidentiality and seen only by the facilitator.

PLEASE NOTE THAT THIS FORM IS YOUR REGISTRATION FORM. Please be sure to submit this form to be included on the list for the event.

Thank you for your interest and willingness to go on this learning and growing adventure with me!!

Jo deAmor





Email address *
First Name *
Your answer
Last Name *
Your answer
What inspired you to sign up for this event?
Your answer
When thinking/feeling about the state of the world the child(ren) you love are being raised in what are your most pressing fears, concerns, griefs and anxieties?
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy