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Somatics for Social Justice 2 Interest Form 2021 

Thank you for your interest in S4SJ 2

The purpose of this form is to learn more about you and your experiences in order to help determine whether this practice series is a good fit for you (versus our more introductory Somatics for Social Justice series). All responses will remain confidential. If there's anything not covered here, or you have any questions please reach out to me by email at melina@both-and.org
1.Name(Required.)
2.Email Address(Required.)
3.Phone Number(Required.)
4.Have you taken a somatics-based course, engaged long-term with somatic or body-based modalities, or experienced other spaces focused on engaging with embodiment or healing the nervous system?(Required.)