Roots of Resilience Virtual Group Registration Form

Roots of Resilience: A Wellness Circle for BIPOC Women

Virtual Workshop Registration Form

Join Us: If you are looking for a supportive community where you can connect, reflect, explore, and heal, we invite you to join our 4-week virtual wellness group. Together, we can cultivate joy and source our individual and collective strength, wisdom, and power. We welcome all who identify as women, including transgender women, genderqueer women, and non-binary individuals who are comfortable in a space that centers the experiences of BIPOC women.

Group Details:
Meeting Time: 6pm to 7:30pm
Duration: 4 weeks
Frequency: Weekly sessions via Zoom
Session Length: 90 minutes
Group Size: 10 women (closed group)

Participation Fee: $200 [$50/session]

Virtual Workshop Schedule
September 3	6:00 PM - 7:30 PM PST
September 10	6:00 PM - 7:30 PM PST
September 17	6:00 PM - 7:30 PM PST
September 24	6:00 PM - 7:30 PM PST

What to Expect:

Guided Discussions: Facilitated conversations on topics relevant to the BIPOC community, including identity, resilience, and self-care.
Mindfulness Practices: Techniques to help manage stress, anxiety, and promote overall well-being.
Creative Exercises: Activities designed to encourage self-expression and exploration.
Supportive Environment: A safe space where participants can share their stories and support each other.

Participant Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you be able to commit to attending all the dates for the virtual group? (see dates above)
If you are not selected for this cohort, would you be interested in being added to a waitlist for upcoming virtual groups?
Please feel free to share anything you would like about yourself and something you are hoping to takeaway or experience from this upcoming group.
Please note: Submitting this registration form does not guarantee admission into the group cohort. Each group will be capped at 10 participants. Registrants will be selected based on various factors determined by the facilitators. Additional information will be provided via email.
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Roots of Resilience: A Wellness Circle for BIPOC Women

Participant Information