RISE AND RENEW PROGRAM

RISE AND RENEW PROGRAM

No Judgement Zone
HEALING IS YOUR PORTION
REGISTRATION FORM
Program Host: Survivors With A Testimony, Inc. (SWAT Inc.)
Class Format: Virtual via Zoom

We are excited to welcome you to Healing Is Your Portion, a healing journey designed to provide a safe and supportive space for personal growth, restoration, reflection, and empowerment.

SELECT YOUR SESSION
Which session are you registering for?

☐ SESSION 1: HEALING IS YOUR PORTION
Dates: January 19 – April 13
Time: 6:00 PM – 7:00 PM
Cost: FREE

☐ SESSION 2: HEALING IS YOUR PORTION

Dates: January 21 – April 15
Time: 6:00 PM – 7:00 PM
Cost: $65 one-time fee

The $65 registration fee includes your book and program materials.

IMPORTANT SESSION REQUIREMENT
Participants must successfully complete Session 1 before enrolling in Session 2.

GRADUATION INFORMATION
🎓 Graduation Date: April 24
🎓 Graduation Fee: $75 per participant
🎓 Graduation Fee Deadline: March 26

Participation in graduation is optional; however, participants who would like to take part in the graduation celebration must pay the $75 graduation fee by March 26.

YOUR GRADUATION EXPERIENCE INCLUDES:
Professional headshot
360° photo booth experience
Graduation celebration
Food for the graduate and up to 10 guests

CAP & GOWN
Graduates will be responsible for purchasing their own purple cap and gown through Amazon.

The official purchase link and ordering information will be provided closer to graduation.

We look forward to walking alongside you as you continue your journey toward healing, wholeness, growth, and purpose.

Survivors With A Testimony, Inc.
Healing Is Your Portion

Healing is not just something you hope for—healing is your portion.
WHAT IS GROUP Session

Group Sessions is a unique kind of setting where a group of people who are likely experiencing similar challenges in the period of their lives gets together to share their difficulties which as a result give and at the same time, receive help from each other.

We make sure to maintain a safe environment that is conducive both for sharing and accepting each other where each can grow and trust one another and where each and everyone will feel respected and valued.
CONDUCT AND RELATIONSHIP

For the safety it is necessary that the following is required to be complied with by its members:
1. Discussions made within the group session are not allowed to be discussed outside with anyone and should maintain the practice of confidentiality in order to build trust with fellow members;
2. Members should maintain positivity and not induce disrespect among others;
3. Members should not be drunk, nor they are allowed to take alcohol or take drugs before any group sessions
4. Maintain conduct that brings respect to fellow members' thoughts, emotions, or behavior.
5. Refrain from having a relationship with a fellow member other than facilitator while engaged in the session.
CONSENT

I agree to adhere to the norms and expectations for group sessions as indicated above. I acknowledge that I have had the opportunity to ask questions and such questions were answered clearly and to my satisfaction.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Session Commitment I understand this is a healing journey and I commit to attending weekly sessions.
Attendance Requirement I understand that consistent attendance is important for my healing journey and participation.
Personal ReflectionWhy do you desire to participate in Healing Is Your Portion?
What area of healing are you believing God for in this season?
Confidentiality AgreementI understand that what is shared in the group must remain confidential. I agree not to share another participant’s personal story, testimony, or private information outside of the group.
Photo/Video ConsentI give Survivors With A Testimony, Inc. permission to use photos, videos, or screenshots taken during sessions, events, or graduation for advertising, promotional, social media, and organizational purposes.
Payment Acknowledgment for Session 2For Session 2 only: I understand there is a $65 one-time fee that covers the cost of the book and materials.
My Products
prevnext( X )
SESSION 2 ONLY$65.00
This come with the healing is my portion workbook.

Session 1 Free

Healing is My Portion Workbook Only$25.00
This will help you follow along in Session 1

Will Pay $65via CASHAPP & send screenshotFree
Send payment to $SWATINC2020

Healing is My Portion Book & Workbook $50.00
This book will be used in section one is not required but will help you to follow and give real life experiences and matched with a workbook and lessons discussed.

GRADUATION $75.00
🎓 Graduation Celebration – April 24 Celebrate your healing, growth, and completion of the Healing Is Your Portion journey! The $75 graduation fee includes participation in the ceremony, a professional headshot, 360° photo booth experience, and food for you and up to 10 guests. Graduation fees must be paid by March 26. Graduates are responsible for purchasing a purple cap and gown from Amazon; the link will be provided closer to graduation.

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RISE AND RENEW PROGRAM

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