Empowerment through the Arts™ Participant Sign-Up Form
I'm so glad to see you here. I'm looking forward to partnering with you in uncovering your specific keys to preventing future predatory relationships.

This form will allow you to be placed on the list for our 6-week, group, alternative treatment plan. Due to the very intimate work you do in these sessions and the free-flowing nature of the art forms we use, there are only 4 - 6 women in it at a time. At present, I am the sole facilitator; therefore, we will do this strictly on a first-come, first-serve basis, matching your schedule availability to form each class.

Each time spots are available, 4 - 6 women will comprise the subsequent groups.

You will be emailed when a spot is available; please be watching for it. (**Spots currently open!**) The session schedule will be based on participant/facilitator availability; please be accurate in sharing your availability on this form.

IMPORTANT: We KNOW your privacy and safety are important. Please know we will NOT share any of this information with anyone who is NOT coordinating this program!

Please note: If you are unable to attend all 6 sessions, the learning will not be successful. Due to this fact, please understand that I will have unenroll you if you start but are unable to finish all 6. If that happens, I will reach out to you, let you know, and then we can put you back on the waiting list for the next cohort. If you join a 2nd cohort and do not finish, I will have to have you pay $25, which is the cost of the materials. This work is grant funded or self-funded by myself as its developer. In order to continue this programming, we need to recoup any costs that do not go to help a survivor get this life-changing information. Thank you in advance for your cooperation with these guidelines.

I can't wait to work with you, Beautiful!

Courageous Fire
Survivor & Developer of Empowerment through the Arts™
Founder of Courageous Access
Email *
Please provide your first and last name *
Email *
Please provide your best contact phone number *
Please check all that apply: *
Please check all that apply for availability: *
A copy of your responses will be emailed to the address you provided.
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