The Well
Founding Gathering August 29, 6:00PM For Afro-Indigenous Women & Women of the African Diaspora
Applicant Details
Full Name
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First Name
Last Name
Phone Number
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Format: (000) 000-0000.
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
How did you hear about us?
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Previous Client
Previous Student
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How Old Are You? (under 18 must be accompanied by a parent or guardian)
What Best Describes You? Where are your people from?
What do you hope to gain from this experience—spiritually, personally, and/or professionally?
What are you looking to get out of this monthly gathering?
Tell me about topics you’re interested in as it pertains to connecting with other women of Afro Indigenous and African Diaspora
Are you open to group discussions, spiritual assignments, and being gently called out when needed?
What does community mean to you? .
Are you open to bringing a dish for a potluck, or an offering?
Is there anything you want me to know about your story, your background, or your vision for yourself?
Are you open to being added to my mailing list for updates?
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