Women's Embodied Expression

Women's Embodied Expression
Please fill out a seperate form for each participant.
Your Name*

First NameLast Name
Participants Age*
Email*
example@example.com
Phone Number*
AnxietyDepressionSocial AnxietyPanic AttacksPTSDTraumaSleeping IssuesSkin conditionsIsolationOther
YesNoNon-binaryOther
Do you have any food/allergies/sensitivities we need to be aware of?
BreathworkYoga and MeditationEmbodiment and Somatic PracticesEmbodied Open Floor DanceTalk circlesWorking with your Feelings and EmotionsOther
Cancellation, Refund and No-Show Policies

We understand that unanticipated events happen occasionally in everyone's life. In our desire to be effective and fair to all participants, the following policies are honoured.

- Tickets are transferrable

- With more than 72hrs notice, 50% refund offered

- No refund with less than 72hrs notice

- No-shows forfeit refund altogether
PHOTOGRAPHY WAIVER Please be aware that Soultree Moves will be taking photos and/or videos that are considerate of a person in a process. Soultree Moves may use the material produced to further promote the essence of its' work through social media, newsletters and website. To ensure the privacy of individuals, images would not be identified using full names without written approval from the photographed subject. Do you consent to images being recorded?

YesNoLeaning towards a yes, but please show me and ask me first
PhoneTextEmailOther
YesNo
How did you find out about this program?
Signature
Date

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Date
I look forward to meeting YOU soon!
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