Community Interest Form | Jennifer Shook

First name

Last name

Email

Where are you in your journey right now? (This helps me get to know your heart and how this space might serve you.)

What would a safe and sacred community mean to you? What are you hoping for in a space like this?

What is the biggest need in your life right now?

Are you open to receiving more info when the doors open?

Yes, I'm interested

Maybe — I’d like to learn more

No, thank you