scholarship

Please complete by April 25! This scholarship is for the Rooted Tier which includes video lessons, workbook, playlist, embodiment practices, and live group coaching call.

* Indicates required field

Name *

First

Last

Pronouns *

Race/Ethnicity *

Email *

City/State/Country *

Age *

What inspires you to want to be a part of this program? What are you hoping to learn/experience? *

What hardships or situations lead you to request a partial scholarship? *

How much are you willing and able to pay for this program, regularly priced at $150? *

$99 $50 $25

How did you hear about this program? *

By placing your initials below, you are acknowledging that this program is not and does not take the place of therapy and in no way should be a substitute to medical/mental professional help/support. *

Any other comments? *

Thank you for taking the time to complete this form. Notifications will go out no later than March 18.

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rise rooted scholarship

Please complete by April 25! This scholarship is for the Rooted Tier which includes video lessons, workbook, playlist, embodiment practices, and live group coaching call.