Registration Form - Somatic Support Group

Registration Form - Somatic Support Group

Somatic Support Group for Burnout & Chronic Illness - led by Alex Toenniges, Autistic Somatics
Hello, and thank you for your interest in this somatic support group for adults navigating neurodivergent burnout and/or chronic illness!

This group meets weekly on Tuesdays at 2-3 pm Eastern U.S. time / 11-noon Pacific U.S / 8-9 pm Central Europe.

Each session will have time for check-ins, a 35-minute somatic movement lesson (Feldenkrais® Awareness Through Movement®), and space to share or reflect.

This is a small, consistent group so we can get to know each other. The somatic movement lesson will often be recorded (audio-only); the personal sharing or check-ins will never be recorded.

If you ever have questions, the best way to reach Alex is by text message at +1 (828) 278-8239 or email at alex@ripplecollectivenc.com

This group is facilitated by Alex Toenniges (they/she), Registered Somatic Movement Educator and Guild Certified Feldenkrais® Practitioner, Autistic Somatics (autisticsomatics.com).
Name

First NameLast Name
Email
example@example.com
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Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about this group (please be specific)?
What drew you to this group? What are you hoping to get out of it?
Do you have any experience with somatic movement or the Feldenkrais Method®? (no experience needed)
What key elements do you need in a community for a sense of safety, belonging, accessibility, and inclusion?
Is there anything you'd like me to know about you? Do you have an injuries or conditions you'd like support with or for me to be aware of?
Do you agree to the following terms: the monthly fee will be billed at the beginning of each month through Venmo. You can cancel any time by providing written notice (email) 30 days in advance. Your subscription will be stopped and no more payments will be charged to you. There are no refunds.
The standard monthly fee for this program is $120/month. Sliding scale is available with a range of $0-180/month - please use this sliding scale calculator to choose a rate that feels right for you - no documentation or justification needed.
Based on the sliding scale calculator, what monthly rate do you choose? (you can let me know anytime if you'd like to adjust)
The monthly fee will be billed each month through Venmo. What is your Venmo username? (Mine is @Alex-Toenniges)
This is not a therapy group. Alex Toenniges is a Registered Somatic Movement Educator and Guild Certified Feldenkrais® Practitioner; not a medical provider, mental health provider, or physical therapist. This space is a group somatic movement & social support space.
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