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Healing Circle Registration

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Personal Information

Background & Well-Being

Have you attended a healing circle or coaching session before?
Yes
No

Intentions & Goals

Which topics are you most interested in?

Availability

Preferred meeting day
Preferred time
Time
HoursMinutes
How often would you like to meet?
Weekly
Bi-weekly
Monthly

Comfort & Safety

Do you feel comfortable sharing in a small group setting?
Yes
No
Unsure

Agreement & Commitment

Acceptance of Terms & Guidelines (for Healing Circle Group)


By joining the Healing Circle, you agree to honor the following:

1. Confidentiality

I understand that everything shared within the group is private, and I agree not to share anyone’s stories, struggles, or personal information outside the circle.


2. Respect & Compassion

I agree to listen without judgment, allow others to speak without interruption, and hold space for every member with kindness and empathy.


3. Emotional Responsibility

I acknowledge that the Healing Circle is a supportive community space, not a substitute for professional therapy. I take responsibility for my own emotions, reactions, and well-being during and after sessions.


4. Participation & Presence

I agree to show up with intention, participate respectfully, and contribute to a safe, supportive environment for everyone.


5. Boundaries

I understand that everyone has different comfort levels. I will honor personal boundaries—both mine and others’.


6. Safety & Conduct

I agree to uphold the group’s guidelines, avoid harmful behavior, and communicate with the facilitator if I feel overwhelmed, triggered, or unsafe at any time.

Additional Support Options

Would you like a free 15 min check-in call before joining?
Yes
No
How did you hear about this Healing Circle?
TikTok
Facebook
Instagram
Email
Word of mouth
Other

Final Message

WhomShallIFear
WhoWillSpeak

Memoirs of trauma, healing, and triumph

Read about Lavon's experience of almost being killed and the hope she found to move forward. Great for trainings, discussion groups, and book clubs.

Let's Connect

Send Lavon a Message

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Join the Healing & Transformation Circle

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Phone Number: 845-746-0272   /   Email: Info@lavonmorrisgrant.com  

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© 2021 by Lavon Morris-Grant.
 

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