bring LA MALA YERBA to my community

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

dear one,

thank you for your commitment in growing our community, hood + res remembrance. La Mala Yerba designs and creates all of our work with ancestor, earth, and our collective healing in mind. it's an HONOR to come to your community to co-create medicine.

please take a moment to let us know where you want to bring my containers! these questions are designed for organizations and individuals who want to collaborate with me by inviting La Mala Yerba to you event, organization or who are interested in bringing our workshops/programming to your city.

if you are an individual hoping to bring us, we would love to partner with you and loving you up by providing your labor in helping us arrange a space, find housing + marketing by offering you a space in the program free of monetary exchange. we would work together to get folx to come to our wisdomshops + trainings.

if you should have any questions filling out this form please contact us at love@lamalayerba.com with the subject line: LMY in my community.

tlazoklamatli,
xochitlcoatl

Email *

full name [government name] *

name of your organization

phone number *

website + social media, if applicable

what is your organization/community's mission?

street address including city, state, country [if you are applying as an individual include your city, state, country] *

in what ways do you hope to collaborate: *

invite us to facilitate ceremony

invite us to [co]host hood heals

invite us to [co]host people's clinic

invite us to bring bipoc herbal immersion to your community

invite us to speak at your conference or event (keynote, panel, workshop)

invite us to facilitate a workshop or training at your organization/community

invite us to do one-on-one herbal + healing consultations with your organization/community

Other:

Required

preferred language for the event/workshop/training *

english

spanish

bilingual

if you are inviting us to your event, please describe in greater detail the event and what you expect from us.

what are your learning goals? topics of interest or existing programming of interest. *

how many people are your group/audience?

when do you want La Mala Yerba to your community? (name the month, date(s), year) *

is there a timeframe for the gathering already? please be specific. [ex: tuesday nov 11 10-12:30p] *

what is your budget for this collaboration?

energetic exchange (this is how your hood offers compensation for our work) *

payments made by individuals to La Mala Yerba

payment for participants secured through organization/community with a group discount

Other:

Required

will your/a space be provided to host us? *

yes! We have an organizational space.

yes! We can help secure a space for *free* or reduced cost

yes! We can offer you housing

maybe we can offer you housing

no we cannot offer a space, you need to find one you housing

no we cannot offer you housing

Other:

Required

if you are an individual or group without a space/organized structure (such as an ngo, etc) we love you! describe your capacity in organizing our visit.

have you or anyone in your organization/community worked with La Mala Yerba in the past? describe how. *

is there anything else that you need us to know?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms