I’m so thrilled you are joining me for this workshop!
Fill out the form below, submit your fee and you’ll be all set! Reach out with any questions.

Payment

Pay via the options below unless you have made another arrangement with me. (Reminder that money doesn’t need to be a barrier for you to attend. If this fee is not accessible for you, mark other and send me a note).

Venmo to @Shira-Sameroff

Paypal to shirasam@gmail.com

Other

Name

First Name

Last Name

Workshop Title

You'll receive the Zoom link a day before we gather.

What are your hopes for this workshop?

Is there anything you would like me to know about you? Any identities you would like me to keep in mind?

How did you learn about this workshop?

Promise me you’ll always remember: You’re braver than you believe, and stronger than you seem, and smarter than you think. - Winnie the Pooh

Promise me you’ll always remember: You’re braver than you believe, and stronger than you seem, and smarter than you think. - Winnie the Pooh

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