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I'm interested in being in a Supportive Spiral

What's your name?
What's your email address? (Cassandra will follow up with you via email about bringing Supportive Spiral to the community you're a member of. This will be the only way she'll use your email address unless you opt in for her email list at the end of this form.)
Why do you want to be a part of a Supportive Spiral? (write as little or as much as you'd like)
Are you a part of any in-person or virtual communities you could see wanting to host a Supportive Spiral? (this is the most straight-forward way to take part in a Supportive Spiral but it's okay if you're not!)
Untitled multiple choice field