YCCC Rest & Restore Registration
1/24/2026
Name(s)/ Pronouns
Contact Info: Cell/ Email
Have you participated in guided meditation before?
Yes, regularly
Yes, occasionally
No, this is my first time
Have you experienced energy healing before?
Yes, regularly
Yes, occasionally
No, this is my first time
What brings you to this session? What are you hoping to experience or receive?
We want to ensure everyone can fully access and participate in this experience. Please share any accommodations, supports, or adjustments that would help you feel comfortable and supported in the circle.
Do you agree to the following agreement & community guidelines: I agree to respect this sacred container and the collective space we create together. I agree to honor the privacy and boundaries of all participants. I understand this work is complementary and does not replace professional medical or mental health care. I agree to arrive on time and stay for the full duration of the session to maintain the container's integrity (this can be adjusted for emergencies or unexpected circumstances)
Yes
I have some questions
No
Submit
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