Explore Emotions Through Poetry Registration
90 Minute Online Workshop - Saturday August 5th or August 19th 11:00 am to 12:30pm PST
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Name *
Which Date Would you Like to Attend
What race/ethnicity do you identify as? *
If  checked "not listed" for race/ethnicity please share how you identify here.
What is your age range? *
What do you hope to get out of this workshop?
Email *
Where are you located? *
Phone *
Would you be interested in receiving emails from DMHS about future trainings? *
Are you experiencing financial hardship and currently searching for a wellness provider?
(if you check yes we will send you information about low cost, no cost options for wellness).

This Free Workshop is Sponsored By:

Deconstructing the Mental Health System Inc, (DMHS) is a group for Mental Health Professionals who are actively increasing access to mental health & wellness services for Black people, Indigenous people, and People of Color.  Learn more at https://dmhsus.org/find-a-bipoc-therapist-or-healer/

I understand that this workshop is for group support; it is not Psychotherapy. Michelle Bee is working only within the capacities of a support group facilitator and will not be held liable for discrepancies. While support groups can work with issues such as identifying and reaching life goals, and changing the behaviors that aren’t working well for you, it will not address treatment of psychological issues. For issues such as anxiety and depression, please seek the medical attention from a Physician or Licensed Mental Health Professional in your area. By signing this agreement, you are agreeing that you understand the difference in these two functions and you will get appropriate professional help for mental health issues if necessary.

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Terms & Conditions:
I give and acknowledge permission for all of the information I provide in this form, for DMHS to use for quality improvement and statistics.

The information provided in  Exploring Emotions Through Poetry does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available on this site are for general informational purposes only. 

All liability with respect to actions taken or not taken based on the contents of this site are hereby expressly disclaimed.  

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Attestation and Consent:  By signing below, I hereby consent to all of the information above in this application 
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