Ancestral Lineage Healing Circle Interest Form
This form is not a commitment to enroll. Your responses will help us plan groups, scheduling, and priority enrollment. Please complete this interest form by November 15, 2026.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
What is your experience with Ancestral Lineage Healing?
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I am familiar and have worked with Jamari.
I am familiar and have worked with another practitioner.
I am new to this work but have worked with Jamari in other ways.
I am new to this work and new to working with Jamari.
If you are familiar with this work but you did not work with Jamari, please share your experience. (e.g. who did you work with, what lineages have you completed or are currently working on, how long ago did you engage in this work? etc.)
If you are familiar with this work, please share your experience. (e.g. who did you work with, what lineages have you completed or are currently working on, how long ago did you engage in this work? etc.)
Available Gathering Times. We will meet for 7 consecutive weeks for live 2-hour gatherings beginning sometime in February, March, or April 2027. Please choose all that would work for you for weekly live gatherings.
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Tuesdays 11am-1pm MT
Tuesdays 1–3pm MT
Tuesdays 4-6pm MT
Wednesdays 2pm-4pm MT
Wednesdays 4-6pm MT
Thursdays 10am-12pm MT
Thursdays 2pm-4pm MT
How interested are you in joining an Ancestral Lineage Healing Circle?
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Absolutely signing up, definitely plan to see me barring any unforeseen circumstances
Very interested, please prioritize me
Interested, but need more details or need to work out stuff on my end
Curious, considering for the future
If there is enough interest, we may offer circles specific to identity/background. If not enough folks are interested, circles will be multigender, multiracial, multispiritual etc. Would you have any interest in any of the following affinity groups? Please select all that you would be interested in.
Black folks group
BIPOC group
South Asian women's group
Men's group
Black men's group
Queer and trans group
Is there anything else you'd like us to know as we plan the group, including dates in February-May 2027 that absolutely do not work for you or other questions or considerations? (optional)
Submit Interest
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