• Creative Journeys

    Creative Journeys

    Sometimes the heart needs a room to roam...

  • Welcome

    Thank you for your interest in Creative Journeys Coaching at POD Playroom. This registration form helps me prepare for our first in-person conversation. This form should take approximately 8-10 minutes to complete.

  • Teen Coaching Registration Section 1- Parent/Caregiver Details

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  • Preferred method of contact*

  • Section 2 - Teen Details

  • Section 3 Hopes, Strengths and Concerns

  • Which of the following have you noticed recently?*

  • Section 4 Health and Previous Support

  • Section 5 Safety and Consent

  • Has your teenager ever experienced any of the following?*

  • Adult Coaching Registration / Mini-Retreat Booking

    Your Details
  •  -
  • Preferred method of contact*

  • What brings you here?

  • Areas you'd like to explore: Which of these feel relevant right now (select all that apply)*

  • Previous Support

    Optional. Feel free to skip if you are booking the mini-retreat session.
  • Have you previously worked with a coach, counsellor or therapist?

  • Health & Wellbeing

  • Are you currently receiving support from another health professional?*
  • Are you currently experiencing any of the following?*

  • Creative Journeys

  • Have you done anything creative recently?*
  • Which creative activities interest you?*

  • Fees & Booking

    Please take a moment to read the information below.

  • Session Fees


    Initial Creative Journeys Session (60 minutes):

    N$ 550

    Materials are included.

    Payment is required before your scheduled appointment to confirm your booking.

    Sessions may also be purchased in bundles. Detailed information about these options will be sent once your registration has been submitted.

    Banking Details: 

    Account Name: SH Berens

    Bank: Bank Windhoek

    Branch: Lifestyle

    Account Number: 8050720487

    Branch Code: 483-871

    Reference: Participant Name

    Please send proof of payment to: silke@podplayroom.com

    Booking Process:

    1. Submit this registration form.
    2. I will contact you to arrange a suitable appointment.
    3. Once your appointment has been confirmed, payment is due before the session.
    4. Your booking is secured once payment has been received.

    Cancellation & Rescheduling

    If you need to cancel or reschedule, please provide at least 24 hours' notice.

    Appointments cancelled with less than 24 hours' notice, or missed without notice, may be charged in full.

    If I need to reschedule your appointment, we will arrange a new time as soon as possible.

     

     

  • Appointment Preference

  • Preferred days*
  • Preferred time*

  • Creative Journeys Coaching Agreement & Consent

    Thank you for taking the time to complete this registration. Creative Journeys offers creative coaching experiences that use art-making, reflection, playfulness, and conversation to support personal growth, self-awareness, and wellbeing. Coaching is collaborative, future-focused, and guided by your individual goals. It is not psychotherapy or medical treatment. Please read the statements below and confirm your agreement before submitting this form.
  • Date*
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  • Should be Empty: