Mixed Up & Whole: Story Healing
You are here & that takes courage. This is the Sign Up Form for the 1.5-hour online Mixed Up & Whole: Story Healing workshop with Dr.DeAnza.

What: 1.5-hour Workshop including lessons on trauma and internalized oppression, grounding practices, writing, and sharing space together.

Upcoming Dates: Thursday, June 15th from 12-1:30pm PT

Registration Fee: The workshop is free for all attendees!

Accessibility Info: This is an online event hosted via Zoom with live AI captions. Dr. DeAnza will be presenting and sharing in English. More access details are to be provided closer to the event date. Please reach out with questions.

More Details: https://www.renewtherapyseattle.com/links

Sign in to Google to save your progress. Learn more
Email *
Name *
and/or alternate name, pronouns, etc.
If you feel comfortable, what parts of your identities draw you to Mixed Up & Whole: Story Healing?
If you feel comfortable, what is your age and/or generational group?
Please share a preferred emergency contact name and phone number. *
This is someone local to you in case of emergency. A person that is a safe person, who knows your needs, and who would be available during this event.
Where are you currently / joining the workshop from? *
How did you hear about this event?
If a referral, please share who in the "other" section at the bottom.
Clear selection
What is your hope for attending this workshop?
What accessibility needs do you have for attending this online Zoom event? *
Copies of slide deck and written resources will be provided, we'll reach out closer to the event!

Participation via audio, video, and written chat messages is welcome on zoom. To support folks privacy, this event will NOT be recorded, nor will there be a transcript provided after.

We do not have the funds this workshop to hire CART, ASL, or language interpretation services. We will be fundraising for future events.
Anything else?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy