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Mixed Up & Whole: Story Healing
You are here & that takes courage.

This is the Sign Up Form for Mixed Up & Whole: Story Healing with Dr. DeAnza


Online Story Healing Workshop (2-day; 6hrs total)

UPDATE: In order to give time for enough registrations & sharing workshop materials in advance, the Autumn workshop will be postponed.

Upcoming Dates: 

  • December 2nd & 3rd  (Fri 12/2 4p-7p & Sat 12/3 2p-5p PT)

Registration Fee: $200 (sliding-scale available– no one turned away for lack of funds)

More Details: https://www.renewtherapyseattle.com/links

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Email *
Name *
and/or alternate name, pronouns, etc.
If you feel comfortable, what parts of your identities draw you to Mixed Up & Whole: Story Healing?
If you feel comfortable, what is your age and/or generational group?
Please share a preferred contact name and phone number. *
This is someone local to you in case of emergency. A person that is a safe person, who knows your needs, and who would be available during this event.
Where are you currently / joining the workshop from? *
How did you hear about this event?
If a referral, please share who in the "other" section at the bottom.
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What is your hope for attending this workshop?
I understand that this event has a registration fee of $200 sliding scale available, I have/will paypal Dr.DeAnza the fee for the course. *
Paypal please send to deanza17@gmail.com for registration with "Story Healing Workshop" in the description. Please reach out if payment is a barrier and you'd like to attend, we can connect about options.
What accessibility needs do you have for attending this online Zoom event? *
Copies of slide deck and written resources will be provided, we'll reach out closer to the event!

Participation via audio, video, and written chat messages is welcome on zoom. To support folks privacy, this event will NOT be recorded, nor will there be a transcript provided after.

We do not have the funds this workshop to hire CART, ASL, or language interpretation services. We will be fundraising for future events.
Anything else?
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