Sign up — Healing for Healers

ABOUT YOU

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

What kind of healer are you?

What are you hoping to get out of Healing for Healers?

PROGRAMMING

I plan to attend:

Friday afternoon (starting at 4pm)

Friday night (camping)

Saturday day

Saturday night (camping)

Sunday morning (departing by 11am)

I am interested in leading a workshop / playshop.

We all have wisdom to share and can learn from one another. With this in mind, would you be interested in leading a workshop or playshop during the weekend? This can be on any topic that brings you joy, meaning, or personal growth, such as: stretching, birdwatching, any and all games, a conversation on finding meaning in your work, or any other activity you'd like to share with your fellow healers. It does not need to be complicated or fancy. We will follow up with everyone who proposes a workshop, so even if you have only the seed of an idea, please put something here and we can help you make it real!

MEALS

Meals I plan to attend:

Friday dinner (7pm)

Saturday breakfast (8am)

Saturday lunch (12pm)

Saturday dinner (7pm)

Sunday breakfast (8am)

Dietary Restrictions / Preferences

Please also let us know if you have a severe food allergy so we can take extra precautions to make sure you are safe during the weekend. All meals will be vegetarian.

CAMPING

I would like to camp:

Both Friday and Saturday nights

Friday night only

Saturday night only

Will you be sharing a tent?

Please list the name(s) of other participants with whom you plan to share a tent, so we can make sure there is space for everyone.

Can you help someone camp?

As part of our commitment to making this weekend retreat accessible to all, we encourage participants to support one another. Would you be willing to assist a fellow participant with less camping experience by helping them set up their tent or offering guidance on borrowing or renting appropriate gear (e.g., tent, sleeping bag)?

I would like help with camping.

Please describe the type of assistance you'd like and we will try to pair you with someone who can mentor you. If you do not have camping gear, please talk with your camping mentor who can guide you in renting or purchasing gear.

COST

To cover the expenses of renting Slide Ranch, shared supplies and food for the weekend we are asking for the following contributions: - $300 if you are camping for one or both nights - $150 for day visitors only We understand that financial circumstances vary, and our goal is to make Healing for Healers accessible to all who wish to participate. If you are able to contribute more than these amounts, your additional support will help provide scholarships for those who may need financial assistance. Thank you for considering this! If you are unable to afford the full amount, please reach out to us directly to discuss your situation, and we will do our best to find a solution that works for you.

Anything else you would like to share with us?

Thank you!

When you click submit, you will be redirected to the payment page to secure your spot at Healing for Healers.

Join us at Healing for Healers!