Skip to content
Rainbow Room Registration - September 26, 2025
Self-Help Connection has partnered with Woodlawn United Church to create this vital healing space, offering Therapeutic Touch® and Healing Pathway to the public on the last Friday of every month.
*
1.
First Name
(Required.)
2.
Last Name
*
3.
Email Address
(Required.)
4.
Phone Number
*
5.
City/Town
(Required.)
*
6.
Is this your first time registering for a workshop through Self-Help Connection?
(Required.)
Yes, this is my first time.
No, I have registered for workshops through Self-Help Connection before.
7.
If no, which other workshops have you attended?
Art Therapy
Grief & Mental Health
Spirituality & Mental Health
Therapeutic Touch®
Boundaries & Balance
APPR
Restorative Healing Arts Journey
Drumming Circle
Qigong
Other (please specify)
*
8.
How did you hear about this session?
(Required.)
Social media
Self-Help Connection website
Group email
Church bulletin
Advertisement
Other (please specify)
*
9.
How important is this opportunity to support your health?
(Required.)
Extremely important
Very important
Somewhat important
Not so important
Not at all important
*
10.
How are you hoping to benefit from this event?
(Required.)
Reduced pain.
Increased relaxation.
Decreased stress.
Decreased anxiety.
Other (please specify)
*
11.
Is this session more accessible to you because there is no charge?
(Required.)
Yes
No
Somewhat
*
12.
Are you 19 years of age or older?
(Required.)
Yes
No
*
13.
Do you currently reside inside Nova Scotia?
(Required.)
Yes
No
*
14.
I have read and agree to the
Privacy Policy
and
Terms of Use
.
(Required.)
Yes
No
