Deep Roots Circle Registration
Thank you for your interest in Deep Roots!
This intake form is to gather basic contact information and a sense of where you are on your personal/spiritual journey. Your input will help to shape the focus and activities of this Circle.
Thank you so much for sharing your experiences and thoughts. And rest assured, your responses are confidential and will not be shared with anyone. I look forward to getting to know you!
With love and great-fullness,
Best Phone number to reach you - mark as Cell, Home, Work
Why are you interested in the Deep Roots experience?
Share briefly about your childhood and young adult religious/spiritual experience:
Share briefly about your spiritual journey in more recent years (shifts, focus, types of support, etc):
As of now, my level of experience with meditation is:
hardly at all
a little bit in recent years
off and on, now and then
regularly for 6 months (and up to 3 years)
regularly for more than 3 years
What spiritual practices are you interested in? (check all that apply and list others you think of)
Connection with nature
Walking a labyrinth
Creating a personal altar
Do you currently have a regular spiritual practice of some sort? If so, please describe?
Anything else you think might be important for me to know about you, your experiences and/or interests?
Which Taster Circle are you registering for?
July 19 (tentative date)
August 16 (tentative date)
All three Summer 2020 Circles
How would you like to make your payment?
PayPal or Credit Card
I will be in touch through the email address you have provided with more details and how to make your payment. Upon receipt of payment, you will receive details on the exact location and what to bring.
I am eager to deepen roots with you!
Much love and great-fullness,
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