Gathering Participant Form

Thank you for taking the time to fill out this form. As we are committed to providing welcoming spaces for all, this is an application to attend only. Once we have reviewed your responses you will be sent a link to register. Please know that all you share will remain confidential. 
Blessed be,
Lisa

Question Title

* 1. What is your (first and last) name?

Question Title

* 2. What is your e-mail?

Question Title

* 3. In which Province / State do you reside?

Question Title

* 4. How did you hear about the Reclaiming Recovery Gatherings?

Question Title

* 5. What calls you to join the Reclaiming Recovery Gatherings at this time?

Question Title

* 6. Do you have experience with spiritual or earth-based practices? Please describe. *Previous experience is not necessary.

Question Title

* 7. Will you be attending the gatherings ONLINE or IN PERSON?

Question Title

* 8. Do you agree to respect and be kind towards fellow travellers of all recovery pathways, genders, gender histories, race, ages, sexual orientation, and agree to contribute to creating a welcoming space for all?

Question Title

* 9. Do you agree to attend the Reclaiming Recovery Gatherings free of mood altering substances such as drugs, alcohol, and non-prescribed medication?

Question Title

* 10. Do you have any additional comments, questions, concerns, or heart reflections you would like to share?

T