Healing Through the Body Group Application

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* 1. Name

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* 2. Phone Number

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* 3. Email

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* 4. How did you hear about Healing Through the Body group?

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* 5. What communities do you identify with?  How do you experience social contexts of trauma and oppression impacting your life and communities?

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* 6. How do you hope your participation in this group will support your healing?  Are there particular issues that you are working on at this time? (If you were in a previous somatics group, let us know what you'd like to get out of this group).

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* 7. What healing work have you previously participated in?  What was beneficial and what has been challenging? What kind of support do you currently have access to?

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* 8. How would you describe your community work or involvement? 

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* 9. We ask that participants attend all 10 group sessions (on Tuesdays from Sept 12th through Nov 14th) and commit to daily somatic practices.  Can you do this?  What challenges or benefits do you anticipate?

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* 10. By applying, you are agreeing to pay $42/per session whether you make it to every session or not. We can take a credit card or figure out a payment plan. Can you make this financial commitment? Would you like to apply for a financial scholarship (one available)?

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