This form is for first time participants or an ongoing participant who needs to update information that has changed, such as an e-mail address or phone number.

The dial-in information will be sent to you by Monday morning, once your registration form has been submitted. Please provide as much information as you feel comfortable providing. Your individual information helps to design the sessions to be as helpful as possible for each participant and to measure the effectiveness of the program. 

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* 1. Please provide your contact information.

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* 2. Please rate your current level of happiness in these areas.

  1 2 3 4 5 6 7 8 9 10
Spirituality
Money
Career
Health
Fitness
Romance
Family
Friends
Community
Fun
Personal development
View of yourself
Overall

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* 3. Please indicate your spirituality/religion.  If you practice more than one, you can check multiple boxes.

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* 4. Please indicate which of these you believe in?

  Yes No Maybe
God/higher power
The Devil
Heaven
Hell
Soul Survives Death
Reincarnation
Angels
Demons
Miracles
Spiritual Body Healing
Energy in Objects (Crystals, Water, Light, Symbolic Jewelry)
Other Spiritual Element/Aspect

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* 5. Please indicate your gender.

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* 6. Please indicate your sexual orientation.

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* 7. Please select the age range you are currently a part of.

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* 8. Please provide any of this information that you feel comfortable providing. For questions on family members, feel free to provide name, ages, gender, 

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* 9. What are you hoping to get out of this session, this group, or what has interested you, thus far? Also, if there is someone you would like the group to pray for, please provide their name and their situation here. Also include anything else you think we should know about you.

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* 10. I agree and will adhere to the following participation rules when attending a Soul Circle session.
1. Once I sign up for a weekly session I will attend unless I have an issue. If I cannot attend, I will e-mail contact@glrivers.com and let them know.
2. I will help create a sacred space by listening with respect and honoring the ideas, opinions and life journeys of all participants.
3. I will also share authentically and I know that I can choose what I share.
4. I also understand that no one from LGBTSC provides medical treatment/diagnosis/etc. or is acting in the capacity as a healthcare provider and that any changes I make related to my health should be discussed with my doctors prior to making the change.
5. I commit to praying daily, for 7 days, for each member in the LGBTSC session that I am attending. ​

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