Acupuncture Registration
Event Timing: Sunday July 26th, 2026 7-8pm
Event Address: Kaimuki/St. Louis - exact address will be sent prior to session
Contact  expandingedges@gmail.com

Please note, this information is purely for the facilitator (me!) and will not be shared, or sold.
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Email *
Full Name *
Phone Number *
Age *
Have you ever received acupuncture? *
Do you prefer traditional acupuncture or ear seeds?  *
Do you manage any current or past mental health issues that could affect your participation? Is there anything that would be important for the facilitator to be aware of? *
Do you have any physical/mobility restrictions (location requires climbing stairs to access) *
Do you agree to enter this group space with an open mind, respect others and their privacy?

 *
Do you agree to discretion of other participants experiences and agree to only share your own personal experience with others outside of the course?
 *
I ask that this be a phone free experience, do you agree to shutting your phone off during the session? *
How did you find out about this? *
Do you have any questions?
Would you like to sign up for the mailing list for future offerings? *
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