Healing the Divide Weekend Intensive Application
Golden, Colorado / November 8-10, 2019
Email address *
Name *
Your answer
Phone Number *
Your answer
Where do you live? *
Your answer
Can you attend the full weekend? Friday 5 - 9pm, Saturday 10am - 6:30pm, Sunday 10am - 6:30pm *
Your answer
How do you identify (male, female, non-binary, trans, gender non-conforming, or something else)? *
Your answer
Have you attended Healing the Divide or The Cock Project or The Pussy Project? If so, where and when? *
Your answer
What are you hoping to get out of this weekend? *
Your answer
Do you have any fears or concerns about this workshop? *
Your answer
Accommodations are not provided. Will you be needing housing for the weekend? *
Your answer
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