Interest Form

Interest Form
Hello! Thank you for visiting my website and for taking a step toward a future connection with one another through one of the offerings currently listed on the site. Below you will find a list of courses, workshops, retreats, as well as 1:1 or group mentorship experience. Please take a moment to tell me a little bit about yourself and choose what offering(s) you might be interested. I will be sure to reach out once registration opens and/or a space becomes available.

I look forward to meeting you!

In gratitude,

Maribel
Name

First NameLast Name
Pronouns
How do you identify (race, ethnicity, gender, orientation, etc.)
Email
example@example.com
What course, workshop, retreat, or training are you interested in learning more about and/or being notified once it opens for registration?

Sacred ConnectionMestiz(e)Sacred EroticJungle Soul JourneyCultures of Compassion DEI TrainingGroup MentorshipIndividual MentorshipIndividual Liberation-Focused Mental Health TherapyOther
Is there anything you would like to share about yourself and/or your interest in this offering?
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