Healing Together - Workshop Registration Form
Thank you for your interest in attending our workshop "Healing Together: Mental Health in a Diverse World". 

In this workshop, a diverse panel of experts will explore how racism and discrimination impact mental health, offering insights and strategies for healing, resilience and inclusion.

Date: Saturday, March 15, 2025
Time: 1:00 PM - 3:00 PM
Location: The Community Centre Room, Woolwich Memorial Centre, 24 Snyder Avenue South, Elmira
Fee: NO COST
Refreshments Provided
Open to Public

What to expect:
•  A conversational, circle-style format where the speakers sit among the attendees, fostering a sense of community and shared learning.
•  Personal stories from each speaker, sharing their lived experiences with racism, mental health and resilience.
•  A discussion on the unique challenges faced by individuals from diverse backgrounds, particularly in relation to mental health.
•  Practical strategies for promoting mental health and well-being in the face of systemic racism and discrimination.

***Registration deadline is March 11.***

Kindly inform us if you require any transportation or have other requests to facilitate your attendance at the workshop.

Please fill out this form to register for our workshop
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First Name *
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(ie. they/them, she/her, etc.)
What city do you live in? *
Please indicate how many people, including yourself, will be attending the workshop.
Refreshments will be served. Please let us know if you have any dietary restrictions. *
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Commitment to Attendance

We are thrilled to offer this workshop free of charge, including a complimentary lunch. To help us plan appropriately and minimize food waste, we kindly ask that you notify us at least one week in advance if you are unable to attend.

Please confirm your agreement:

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CODE OF CONDUCT

Our programs are fully inclusive. We have zero tolerance for misconduct, including harassment, bullying, abuse or assault, illegal activity, intoxication, discrimination and plagiarism.

We are committed to providing a safe, respectful, and inclusive space for all participants. By attending, you agree to abide by the following code of conduct:

Respect and Inclusivity: Treat everyone with respect and kindness, regardless of their gender identity, sexual orientation, race, ethnicity, age, disability, or any other characteristic. Embrace diversity and appreciate the unique perspectives each participant brings.

No Discrimination: Discrimination, harassment and negative behavior will not be tolerated.

Language: Be mindful of the language you use. Refrain from using offensive or inappropriate language, slurs, or derogatory terms. Use gender-neutral language when possible, and refer to the person using their pronouns as noted on their nametag.

Open-Mindedness: Approach discussions with an open mind and a willingness to learn. Listen actively and consider diverse perspectives. Avoid making assumptions about others' experiences.

Confidentiality: What is shared in our safe space should stay in our safe space. Respect the privacy and confidentiality of others. Do not share personal stories or information without explicit permission.

Consequences: Violations of this code of conduct may result in removal from the location of the program. We reserve the right to refuse entry to or remove any participant who does not comply with these guidelines.

By attending, you acknowledge that you have read, understood, and agree to adhere to this code of conduct. We appreciate your commitment to creating a positive and inclusive space for all participants.

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Thank you for signing up to our workshop! We look forward to seeing you.

Make sure to keep an eye out in your email for updates. 
A copy of your responses will be emailed to the address you provided.
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