Trauma-Informed Grief Support - event registration
Event Timing: October 28th & 29th, 2022
Friday 5:30pm-8:30pm, & Saturday 9:30am-5:00pm

Event Address: 729 Finlayson Arm Road, Greater Victoria Area (Langford/Highlands)
Contact Info: shaunajanz@gmail.com
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Name & Pronouns
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Phone Number
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Organization or Business you are affiliated with, if any
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Please provide a brief description of the helping role or support context you are coming from, and what draws you to this workshop. Thank you.
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Do you have any accessibility or learning needs that you want me to be aware of?
Do you want to be contacted about ride-share options? If you are looking for a ride, or if you have space to offer rides, please click 'yes' and we will contact you for further coordination. *
I agree to respect the COVID safeness requests for this workshop, and offer my consent and accountability by checking the following statements:
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Consent and Liability Waiver Agreement:

I understand that this workshop through Sacred Grief - Shauna Janz is for educational and training purposes. It is not therapy, although it will likely have therapeutic impact. I understand I might experience some emotional, mental, spiritual or physical stress (growing pains) and that participating in this workshop may facilitate personal healing as a by-product of my participation. I understand that I am encouraged to have additional resources outside of this workshop setting should I need further support.

I agree willingly to release from any claim Shauna Janz, any workshop supporters, or any other workshop participants from responsibility for any of the possible stress responses aforementioned.
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Please indicate which pricing tier you will be paying. After I receive your registration form, you can expect to hear from me within 3 days to confirm and offer payment details. Thank you.
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Are you someone who has the capacity/willingness to donate towards a sponsorship spot? If yes, I will be in touch to discuss more. Thank you.
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I understand that I will receive a full refund if I withdraw from the workshop before October 12th, or a 50% refund if I withdraw before October 24th, unless my spot can be filled in which I will then receive a full refund.

If I cancel after October 24th, I understand that I will receive a 75% refund *only* if my spot can be filled from the wait-list.

I agree to communicate about my absence as early as possible, and understand that if I don't communicate my withdrawal/ absence, or if my place cannot be filled from the wait-list, I will not receive a refund.  

I understand that if I test positive for Covid on the rapid antigen test within the 24 hours before the workshop starts, I will communicate this before the workshop starts on Friday, to receive a full refund, minus a $25 admin fee.

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Is there anything else you would like me to know about your registration and participation in this workshop?
A copy of your responses will be emailed to the address you provided.
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