HEALTHY BOUNDARIES PATH

Healthy Boundaries: The Path to Thriving

REGISTRATION
First Name:*
Last Name:*
E-mail*

Confirmation Emailexample@example.com
Phone Number (for USA & Canada, please enter 1 for the country code)*

Country CodeArea CodePhone Number
Please re-enter your phone # (format 1-503-555-5555)*
City:*
State/Province:*
Country:*
What Program level are you interested in? (If you'd like to check out the first session for only $35, you can select that below.)

LIVE - GOLD Program ($995)LIVE - SILVER Program ($595)LIVE - BRONZE Program ($395)LIVE - CORE Program only ($245)HOME STUDY - GOLD Program ($895)HOME STUDY - SILVER Program ($495)HOME STUDY - BRONZE Program ($295)HOME STUDY - CORE Program Only ($195)Other
Which Program format will you participate in?

Portland (In Person)Online Webinar Course with Recordings + LIVE Discussion (Zoom)Self-Study (Online)
What is your time zone (e.g, Pacific)? What is your time zone UTC? (Note: From November 1 to March 14, 2021 Pacific Time will change to UTC -8. For a map of UTC time zones, visit www.thrivinglifenvc.org/utc)
What is the FIRST LIVE SESSION date and start time for the program you're registering for? (PACIFIC time zone,UTC-7)*

MonthDayYear
Date (MM-DD-YY)Hour (AM/PM)MinutesAM/PM Option
PORTLAND Session dates are Wednesdays, 6:30-9pm on: Sep 4, 11, 18, 25, and Oct 2 and 9. Which dates do you already know you will NOT be able to attend? (Please enter "none" if you'll be able to attend all sessions.)*
LIVE ZOOM WEBINAR Session dates are Sundays 12:30-1:30pm on: November 15, 22, 29, December 13, 20, 27, and January 10. (No session on December 6 or January 3.) Which dates do you already know you will NOT be able to attend? (Please enter "none" if you'll be able to attend all sessions.)
GETTING TO KNOW YOU
1) An essential Thriving Life commitment is to consider that "if it's hysterical, it's historical." That is, if we're reacting with a fight/flight/appease/freeze survival response, then it's very likely it's PRIMARILY something from our past (a "broken toe") -- and NOT the present-moment situation -- that's the main source of our most overwhelming pain. What comes up for you, when you hear this?*
2a) What's going on in your life that's inspiring you to participate in this group right now?*
2b) What are you hoping to get out of your participation in this Program? What do you hope will be different -- specifically, what does that look like now, and what do you hope it will look like by the end of the Program?*
3) What kinds of circumstances "always" trigger you or make you react? What are the most common situations where you find yourself going into fight, flight, appease, or freeze/confusion/numbness/shut-down? *
4) What are YOUR key signs that you've lost your boundaries? (For example, one of my most common sign that I've lost my boundaries is "obsessively" thinking about something that didn't go the way I wanted, anxiously trying to "figure out" how I could have made it go differently and/or what I could do to make it go the way I want in the future. Another is replaying an unpleasant experience over and over again, arguing in my head about why whatever I did was reasonable and why whatever the other person did was the problem.)
4) What kind of mindfulness, meditation, or presence practice(s) do you engage in? How often do you practice these?*
5) Please describe your previous experience with NVC/Compassionate Communication. (NONE IS REQUIRED.) Please check all that apply.*

NoneWatched YouTube videosRead the book (Nonviolent Communication: A Language of Life, by Marshall Rosenberg)Attended one or more 1 or 2-day training eventsTook one or more classes (1 to 6 sessions)Took one or more classes (7 to 12 sessions)Participated in a 9-day International Intensive TrainingParticipated in a practice group for less than 6 monthsParticipated in a practice group for 6-12 monthsParticipated in a practice group for more than 1 yearParticipated in a practice group for more than 3 yearsHave taught NVC informally, or as a volunteerHave taught NVC professionally
6b) Is there anything you'd like to add about your previous experience either learning or teaching NVC/Compassionate Communication?
6c) If you've had any previous experience with NVC/Compassionate Communication, what about it has been the MOST helpful for you?
6d) If you've had any previous experience with NVC/Compassionate Communication, what about it has been the LEAST helpful for you?
6) What sources of support do you currently have, to help you when things get challenging in life? (e.g., close friends, family, partner, practice groups, coach, therapist, etc.)*
7) Please let us know your tuition category:*

$245 - Standard Tuition$395 - Patron (help support our partial scholarship/equitable exchange program)$145 - Students/COVID-19/Special Circumstances (partial scholarship/equitable exchange program)
8) Would you like to try out the first session for only $35? (If you register for the full course, your $35 will be applied to your full program tuition.)

No thanks, I'd like to register for the program nowYes, I'd like to try out the first session for only $35
8) Would you like to take advantage of the FREE TRIAL, which includes full access to all Module 1 Resources and Recordings?

No, I'd like to register for the program nowYes, I'd like to try the program out with the Free Trial
9a) Do you qualify for a special discount? (Please choose ONE. Applies to Standard and Patron tuition only.)

$35 - Self-Study Option (work at your own pace)$50 - Registering with a Friend (at least one of you are NEW to Thriving Life)$50 - Past Thriving in the Woods Camping Retreat participant$50 - Past Amazing Relationships participant$50 - Current Compassionate Noticing or Presence Practice learning community member$50 - Past Coaching or Brainspotting Client$75 - Past Awakening the Visionary Retreat participant$100 - Current Coaching or Brainspotting (last session within 90 days of today)$150 - Past Healthy Boundaries or Power to Thrive participant
9b) If you're registering with a friend, please enter their name(s) here, to qualify for the Registering with a Friend Discount:
PREPARING TO CONNECT ONLINE

In addition to our 7 Live Sessions, everyone enrolled in the course (both Live Program and Home Study formats) is invited to join us for the 90-minute Live Webinar Community Session.

This session will give us a chance to come together and connect as a community, including:
- meeting and discovering something fun and engaging about everyone in the course, and
- having some sharing, Q&A, and community discussion about what's most alive for you about the course and what you're discovering so far.
We'll schedule this Community Session for late August or early September weekend day when the greatest number of those interested can participate. (We'll be scheduling to accomodate international participants' time zones.)

So, whether you're enrolled in the Live or Home Study Program, please answer the webinar-connection questions below.

This will support the most ease-filled connection for us, when we gather!
PREPARING TO CONNECT ONLINE
Are you interested in participating in the 90-Minute Live Webinar Community Session?

YesNoNot sure yet
Have you ever used Zoom (or Skype) for online events before?

YesNoNot sure
Do you have a headset? We find this is often required in order for us to easily hear each other.

YesNoOther
Do you have a way to print out the program materials each week?

Yes (required to participate in the Online Program)No
Have we already spoken together about the Program and whether it's a good "fit" for what you're looking for at this time?

YesNo
Please let me know 3 to 5 time windows between 12pm and 7pm Pacific when you can connect with me for about 10-20 minutes (preferably via online video, or by phone if that's not convenient) to chat about what you're hoping for, what the program offers, and get mutual clarity about whether it can provide what you're most wanting right now.
COMMENTS: Is there anything else you'd like to let me know, or do you have any questions?
TO COMPLETE YOUR REGISTRATION, click on SUBMIT below and make your program payment on the next page.
TO COMPLETE YOUR APPLICATION, press SUBMIT below and make your $35 registration deposit payment on the next page.

I'll contact you as soon as possible to schedule our 20-minute conversation where we can answer any questions you may have, and confirm together that the program is the best "fit" for what you're looking for.

(NOTE: I'll promptly refund your registration deposit if the program isn't your ideal next step at this time.)
Please add thrive@thrivinglifenvc.org and vika.thrivinglife@gmail.com to your safe sender's list, to ensure our emails reach you instead of your spam folder. (NOTE: If you use Gmail, you may need to move our emails from your Promotions folder into your Inbox.)

I'm delighted you'll be with us on this powerful, life-changing journey!

Warmly,

Vika Miller, MA
Thriving Life & Community
503-395-5366 (sorry, no texting at this number)
thrive@thrivinglifenvc.org
www.thrivinglifenvc.org
Healthy Boundaries - Path

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