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Held in Humanity Group Offerings Interest Form
This form is to let me know that you're interested in future group offerings. We will be sure to let you know when we launch the group/s of interest.
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* Indicates required question
Full name
*
Your answer
Personal Pronouns
*
Your answer
Offerings are on weekdays only. What time of day are you available for 1-1.5 hour long offerings?
*
Weekdays 9:00am-12:00pm
Weekdays 1:00pm-5:00pm
Weekdays 6:00-8:00pm
Other
Required
Email address
*
Your answer
Phone number
*
Your answer
City and State
*
Your answer
Please check all the offerings that you are interested in.
Expressive Art
Group Hikes
I'd like to join your mailing list
Other:
Would you like to schedule a call to learn about one-on-one support sessions?
Yes
No
Clear selection
How did you learn about Held in Humanity?
*
(Share the name of the person, organization, event, search engine, listserv, social media account, etc.)
Your answer
It’s important to me to ensure that my offerings are as accessible as possible and honor your needs. Is there anything that you want to share with me about your access needs?
Your answer
I am always working to identify the most accessible outdoor locations for offerings. If your access needs include an accessible location and/or parking, are there any public outdoor locations that you know meet your specific needs?
Your answer
Any questions or comments?
Your answer
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