MN Ancestral Lineage Healing Intensive Interest Form
As we plan for the upcoming Ancestral Healing 3 Day Intensive April 12-14, 2019, we are sharing our Pre-registration Interest to Participate Form to help us prepare before opening general registration. Given our intention to host a space that is intergenerational, multicultural, multi-racial, ability, gender and class diverse we are asking folks who are interested in attending share more information with us in advance. This form will also help us assess how much scholarship may be needed. If you're interested in attending please fill this out by January 20th, 2019.
Name?
Your answer
Race?
Your answer
Gender?
Your answer
Sexual Orientation?
Your answer
Age?
Your answer
Access Needs/Other Support needed to attend?
Your answer
The full cost of the intensive is $400. Are you able to pay this amount for the intensive?
If not, how much can you pay?
Your answer
If yes, are you able to contribute more than $400 to add to our collective funds supporting the participation of others?
Submit
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