Community Healing Circles / Mindfulness Meditation Sessions Registration Sign Up
Participant Details:
Full Name
*
First Name
Last Name
Birth Year
*
Gender/Preferred Pronouns
Address (Zip Code is only required)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Please Select
Clark
King
Pierce
Snohomish
Spokane
Thurston
Yakima
Other
Phone Number
*
E-mail
*
example@example.com
Race
*
Please Select
African American/Black
Latine/Latino/A/X
Asian
Native Hawaiian/Pacific Islander
White
Two or more
How did you hear about the program?
*
Were you referred by a community partner?
Please Select
Yes
No
If yes, please specify.
Please tell us about yourself, your experiences and how you feel the program may best support you?
Which of the following did the War on Drugs have an impact?
*
Please Select
Individuals
Children
Families
Communities
All
What "War on Drugs" policies and issues impacted the individual, children, community and/or family(ies) the most and why?
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Why do you think it is important to have a community dialogue and healing sessions on the impact that the War on Drugs had on individuals, children, families and the community?
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Choose a session to join
We have two major Community Healing Programs we are scheduling for registration in February 2025, which one of the two or both are you interested in participating or both: 1) Intergenerational Discussion and Healing Sessions to discuss the impact of the "War on Drugs" with practices and tools to assist in transcending the impacts, and 2) Art Therapy Expression Sessions to provide you a voice through canvas to express the impacts of the "War on Drugs" to you and/or your family. You can also identify you'd like to attend both. In order to participate in the planning and the execution of the mural event and/or the economic and housing stability workshops, you will need to participate in the either the intergenerational discussions or healing sessions.
Cohort Dates:
Cohort 1:
Session 1: March 22 ( Community Healing)
Session 2: March 27 (Mindfulness/Sound Bath)
Session 3: March 29 Building a Preferred Future)
Cohort 2:
Session 1: April 26 (Community Healing)
Session 2: May 1 (Mindfulness/ Sound Bath)
Session 3: May 3 (Building a Preferred Future)
Cohort 3:
Session 1: May 17 (Community Healing)
Session 2: May 22 (Mindfulness/Sound Bath)
Session 3: May 24 (Building a Preferred Future)
Which Healing Cohort would you like to be apart of?
*
Please Select
Cohort 1
Cohort 2
Cohort 3
Session 1: Community Healing sessions are 10:00 am - 1 pm. Session 2: Mindful Meditations sessions are 6-7 pm. Session 3: Building a Preferred Future are 10:00 am - 1 pm.
Which art sessions would you like to attend?
Please Select
April 19 (3:00pm - 4:00pm)
April 26 (3:00pm - 4:00pm)
May 10 (3:00pm - 4:00pm)
We are working with a local artist to develop a community mural (Mid April - Mid June 2025), are you interested in participating in that helping us with the planning and execution of the event, which includes the unveiling (End of Month June 2025) of the mural?
Please Select
Yes
No
Which Economic and Housing Stability Workshops are you interested in?
1. A Pathway to Homeownership – 20% Downpayment Assistance - March 18
A Pathway to Homeownership - April 15
A Pathway to Homeownership - May 13
2. Financial Literacy - March 25
Financial Literacy - April 22
Financial Literacy - May 20
3. Writing a Winning Resume - April 1,
Writing a Winning Resume - April 29
Writing a Winning Resume - May 27
4. How to Start a Business - April 8
How to Start a Business - May 6
How to Start a Business - June 3)
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