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Daring way™ Workshop Registration

A Four Part Mini workshop Series:

Sept 16,  Sept 30,  Oct 21,  & Oct 28, 2018


The Daring Way™ is a highly experiential methodology based on the research of Dr. Brené Brown.  Together, we will explore topics such as vulnerability, courage, shame, and worthiness. You will be invited to examine the thoughts, emotions, and behaviors that are holding you back and identify the new choices and practices that will move you toward more authentic and wholehearted living.

I look forward to the time we will share together for this workshop series.  Your responses to this brief form will help me prepare for our time together, and will be held confidentially.

Name *
Name
Payment: I understand that my individual fee is $115, and the total minimum cost for my group to hold this workshop is $1,200. My group will be responsible for insuring a single payment is made to cover any remaining costs should the minimum cost not be reached through individual registration as currently anticipated. I will submit my payment on the next page to complete my registration. *
Participation Agreement: I agree to take care of myself while I participate in this workshop. I understand that workshop participation is not the same as nor intended to replace individual therapy and I will seek additional support should the need arise while I participate in this workshop series. I understand my participation in this workshop is voluntary and I have the right to withdraw at any time, though I will not receive a refund for partial participation and will make an effort to attend all sessions if possible. While this is a workshop rather than therapy, I understand that our facilitator, Sadie Forsythe, is a licensed therapist and as such will hold any sharing that occurs within our workshop in strict confidentiality, with the exception that she is a mandated reporter for any disclosure of imminent threat to harm self or others, or abuse/neglect of children, the elderly, or people of disabilities. *
Date *
Date