Form cover
Page 1 of 2

Awaken From Your Mind 
7-Week Small Group Program

February 3 - March 17, 2026

All sessions meet on Tuesdays from 6:00 to 7:45 pm in South Boulder.

Thank you for your interest in the Awaken From Your Mind program.

Please complete this short form to reserve your spot. Once received, you’ll get a confirmation email with payment details and how to prepare.


Space is limited to 8 participants to support personal attention, deeper sharing, and an intimate container.

1. Full Name

2. Email Address

3. Phone Number

4. How did you hear about the program?

5. Can you commit to attending all seven Tuesdays from Feb. 3 - Mar 17, 2026?

6. For the February 24 session on Zoom, do you already have zoom installed on your computer?

7. What draws you to this program?

8. Have you attended any of the following before?

8. Have you attended any of the following before?

9. The program cost is:
Early Bird: $315 through January 6
Standard: :$365 after January 6
How would you like to pay? (If you're called to participate but cost is a barrier, let us know and we'll see what's possible).

10. Are you currently receiving therapy or mental health support?

11. Are you currently taking any medications that significantly affect mood, attention, or nervous system regulation?

12. Is there anything else you think it would be helpful for me to know before we begin this journey together?