Awake Embodied Healing Community Fund Assistance Application

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Please note, community support is limited and submitting this application does not guarantee Community Fund assistance.

Please consider the funds and space you are taking up by applying to draw from the Community Fund, and only apply if you are experiencing financial hardship. If you can afford a massage therapy session at full cost, please do not take the assistance from another interested client who cannot afford session fees.

First and Last Name *

Preferred Pronouns *

Email *

Gender *

Age *

Have you ever drawn from the Awake Embodied Healing Community Fund before?
*

Yes

How much of the fee for your massage therapy session are you able to pay out of pocket? You can check pricing at https://www.awakeembodiedhealing.com/services 

Please briefly share what barriers you've experienced to receiving massage therapy or other bodywork.
*

What are you hoping to get out of your massage therapy session? *

Anything else you'd like me to know?

Submit

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