Survivance Registration Form

Grief. Empowerment. Healing. Love.

Our group will be a space of love and co-creation to manifest collective healing for HMI youth in order to support our ability to thrive through our experiences of collective and disenfranchised grief.

We are looking for young people to participate in the whole experience Friday evening, Saturday afternoon, and Monday evening.

This experience will be healing and empowering for any young person who has dealt with the loss of someone important in their lives.

You don’t have to be bereaved to participate in this group.

Together, we will talk about coping with adversity, grief, and loss.

Friday | Nov. 18 | 4-7.30pm

Saturday | Nov. 19 | 12-4pm

Monday | Nov. 21 | 4-7.30pm

ATTENDANCE ON ALL THREE DATES IS MANDATORY IN ORDER TO BE ELIGIBLE TO RECEIVE YOUR STIPEND

SIGN UP FAST! SPACE IS LIMITED TO 15 PEOPLE!!!


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The Survivance Experience 
- Be in community
- Gather a deeper understanding of our history, herstory, and our stories
- Learn about LGBTQAI+ icons and ancestors
- Share our experiences, through storytelling, art, and other activities
- Learn skills and strategies for healing and empowerment
- Develop the role of the activist and the advocate
- Eat delicious food
- Have fun!
Name & Pronouns *
Email address *
Phone Number *
By writing my name or signature, I agree to commit to attending all meetings Nov. 18, 19, & 21 at HMI. I commit to bringing my uniqueness, nerve, and talent. I commit to being respectful of others and their experiences. I commit to being my authentic, unapologetic self. I commit to being creative and having a bit of fun! Please sign by typing your full name.
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