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Summer 2026 Workshop Interest Form – Community & Wellness Collective
Thank you for your interest in bringing our Mental Health & Brain-Based Workshops to your organization. Please complete the form below and we will follow up within 1–2 business days.
Now scheduling summer sessions (June–August).
Limited spots available. To secure your preferred date(s), we recommend selecting dates 3–4 weeks in advance.
Organization Name
*
Your Name
*
Your Title/Role
*
Email Address
*
Phone Number
*
PROGRAM DETAILS
What type of organization are you?
*
What type of organization are you?
Summer Camp
School
Community Center
Youth Organization
Church/Youth Ministry
Other
Which workshop are you interested in?
*
Which workshop are you interested in?
A
Mind Over Matter: Brain Science & Mental Health (90 min) – Grades 6–8 Connecting brain science to emotions, stress, and real-life experiences
B
Mind Over Matter: Brain Science & Mental Health (90 min) – Grades 9–12 Exploring how the brain shapes emotions, stress, and everyday behavior
C
Pathways in Wellness: Careers in Mental Health (60 min) – Ages 18–24 Introducing career pathways in mental health, psychology, and related fields
D
Mental Wellness 101: (90 min)- Ages 17+ Introduces the basics of mental health, emotional wellness, and self-awareness in a simple, relatable way serving as a bridge for those who may not be ready for professional support. (youth are able to attend adult accompanied is highly suggested)
E
Not sure / Open to recommendation
Approximately how many participants would attend?
*
Approximately how many participants would attend?
A
Less than 15
B
15–30
C
30–50
D
50+
What timeframe are you considering?
*
What timeframe are you considering?
June
July
August
Flexible
Preferred day(s)?
*
Preferred day(s)?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred time of day?
*
Preferred time of day?
A
Morning (9:00 AM – 12:00 PM)
B
Early Afternoon (12:00 PM – 3:00 PM)
C
Late Afternoon (3:00 PM – 6:00 PM)
Do you have a screen/projector available?
*
Do you have a screen/projector available?
A
Yes
B
No
C
Unsure
Is there anything specific you'd like us to focus on for your group?
Any additional questions or comments?
Submit
