'Heal With Us' Summit Registration
Decolonizing Wealth Project is honored to offer a day of healing and regeneration for White-Identified Fundraisers who are dedicated to liberating capital and radically redistributing wealth!

When/Where: The Summit will take place over Zoom on Thursday, April 20th beginning @ 9 am PST / 12 pm EST.

Length: The Summit will close by 2 pm PST / 5 pm EST.

Session Flow: Opening ceremony will begin promptly at 9 am Pacific / 12 pm Eastern, followed by a set of concurrent breakout sessions facilitated by a collective of skilled and experienced healers.

Format: Breakout sessions may be conducted in small groups or one-on-one. Participants will be assigned breakout sessions upon arrival.

Registration Deadline: Friday, April 6th at 8 pm EST.

Fee to Attend: $100 - $300 (assistance is available if needed)

Space is limited, and registration fills quickly. We encourage those who are interested to register early.

Notifications will only be sent to registrants who are accepted into the summit.

Have questions? Send us a message at healwithus@decolonizingwealth.com 
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ELIGIBILITY
Are you a white-identified fundraising professional?  *
DEMOGRAPHIC & BACKGROUND INFORMATION
First Name *
Last Name *
Email *
Email Associated with Zoom Account
If different than email above
Phone Number *
Please indicate your age range *
Do you know your European ancestral lineage? If so, please describe the European ethnic and cultural lineage(s) you carry *
Besides your European ancestral, what other ethnic or cultural lineage(s) do you carry?  *
Gender Identity
Optional
Sexuality
Optional
You are welcome to share any additional identities that are important to who you are
Optional
Which city and state do you live in? *
Name of the organization where you serve as a fundraiser  *
How long have you served as a fundraising professional? *
Have you attended a DWP healing summit in the past? *
Are you a member of Liberated Capital? *
NARRATIVE QUESTIONS
What is motivating you to register for this healing summit? *
How would you describe your overall well-being at this moment?  *
Emotionally, physically, mentally, spiritually... 
Over the past year, what factors or experiences had the most impact on your overall well-being?  *
What have been the most helpful coping strategies for you? *
In your role as a fundraiser, what have been your most difficult challenges? Have you seen similar challenges for other fundraisers in the sector? *
What role do you think white-identified fundraisers can play within the movement to decolonize wealth?
 *
ADDITIONAL INFORMATION
Will you need assistance with the registration fee?
Sliding scale is $100 - $300
Is there anything else you'd like to share with us about your experience, intentions, preferences or concerns?
Do you have any other questions for us?
Do you have any accessibility needs that would prevent you from being able to participate? If so, what are they?
How did you hear about this healing summit? 
LIABILITY WAIVER
By completing and submitting this registration form and/or attending the “Heal With Us” Summit, I commit and agree to the following: I embrace my responsibility as my own best care provider. I accept full responsibility for all outcomes of my experience and embrace my own power and self-determination. I understand that the single healing session I will be receiving during the summit, cannot substitute for consistent and dedicated care from a health or healing professional.I will recognize and express my own inner knowledge and intuitions when needed and appropriate. I will build an honest and receptive relationship with the practitioners I see during the summit. I will hold as confidential everything that is shared over the course of the summit. I understand that these sessions are not a mental health or medical treatment, nor are they a substitute for ongoing mental health or medical treatment, and I further understand that the sessions are not intended to diagnose or treat a disease or condition. I will share my needs and experience with my practitioner and/or summit coordinators in a timely, honest way- including if I am uncomfortable with any practice, suggestion, or any other offerings from the practitioner or other summit participants. I hereby release Decolonizing Wealth Project and its fiscal sponsor, agents, contractors, as well as all practitioners, coordinators, and volunteers involved in my experience from any and all liability for complications, unplanned outcomes, or any other issue which may arise as a result of my choice to participate in this summit.
Please write your full name below if you have read, understood and agree to the Liability Waiver above: *
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