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Drumming Circle Registration - September 20, 2025
Please be aware of the nature of the drumming circle and journeying. The experience can be powerful and often includes emotional release and sharing. Participants must be 19 years of age or older.
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1.
First Name
(Required.)
2.
Last Name
*
3.
Email Address
(Required.)
4.
Phone Number
*
5.
City/Town
(Required.)
*
6.
How did you hear of this Drumming Circle?
(Required.)
Word of mouth
Social media
Self-Help Connection Website
Group email
Other (please specify)
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7.
Is this your first time registering for a workshop through Self-Help Connection?
(Required.)
Yes, this is my first time.
No, I have attended other workshops through SHC before.
8.
If no, which other workshops have you attended?
Grief & Mental Health
Spirituality & Mental Health
Art Therapy
APPR (Action Planning for Prevention & Recovery)
Therapeutic Touch®
Qigong
Boundaries and Balance
Other (please specify)
*
9.
Have you attended our drumming circle before?
(Required.)
Yes
No
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10.
How important is this opportunity to support your health?
(Required.)
Extremely important
Very Important
Somewhat important
Not so important
Not at all important
*
11.
In what ways do you feel this opportunity will support your health?
(Required.)
Reduce stress
Reduce anxiety
Allow for healthy emotional release
Increase relaxation
Other (please specify)
*
12.
We have a few drums we can loan to those without one. Are you using your own drum or do you need to borrow one?
(Required.)
I am using my own drum.
I need to borrow a drum.
*
13.
Does the fact that the event is free make it more accessible to you?
(Required.)
Yes
No
*
14.
Do you currently reside inside Nova Scotia?
(Required.)
Yes
No
*
15.
Are you 19 years of age or older?
(Required.)
Yes
No
*
16.
I have read and agree to the
Privacy Policy
and
Terms of Use
.
(Required.)
Yes
No
