Gather and Grow Registration Form

Gather and Grow Registration Form

Third Thursdays On-Line Monthly via Zoom 6:00 – 7:00 pm CENTRAL TIME - Educational Presentation 7:00 – 8:00 pm - Networking, resource sharing, and community building
Name

First Name Last Name
Email
example@example.com
What is your profession?
In what setting do you work? (hospital, private practice, schools, etc)
What population do you work with? (elders, developmental disabilities, mental health, etc)
How did you hear about the Gather and Grow series?
Are there any topics that you would like to learn more about or specific individuals you think would make great presenters?
Which sessions would you like to participate in? Zoom links will be sent for the events you are interested in.

September 17th: Helping Skills and Alliance Building October 15th: Experiences of and Practical Tips for Working in Multicultural Clinical Settings December 17th: Social Media Marketing for the Therapy Professional & AMTA Conference Review January 21st: Effective Communication & Understanding Challenging Behaviors in Dementia February 18th: Songwriting March 6th: GLR/MWR Music Therapy Conference Networking & Review April 15th: Self-Care: Not All Bubble Baths and Ice Cream May 20th: Common Speech and Language Disorders, Approaches, and Collaborative Treatment Ideas June 17th: Building Resiliency August 19th: Evidence Based Practice: Meaningful Change Now and For the Future October 21st: Reframing Music Therapy: Our Work in the Context of Trauma and Healing
Suggested donation $20 per event. Please feel free to join us even if you can't make a donation!

If you are able to make a contribution, it will support our efforts at increasing equity for people from marginalized communities and support the amazing charities the presenters are choosing.

50% of the funds raised will be donated to a charity of the presenter’s choosing.

50% of the donations raised through this presentation will be contributed to the Living Spirit Therapy Services Pay It Forward Campaign to support free or reduced cost music therapy sessions for low income, rural, and minoritized older adults in Minnesota living in private homes.

Donation Amount:

USD Description

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

If you have any questions or difficulty registering please contact melissa@livingspirittherapy.com
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm