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Healing Phoenix Arts Warrior Scar Jewelry Program Intake Form

Healing Phoenix Arts Program Intake Form

We welcome All abilities to join our Warrior Scar Jewelry Program. Please take the time to complete the form below, so we can get to know you, and help you have the best Post Traumatic Growth experience possible. This information will be kept private

and confidential.

When was your burn incident?
Month
Day
Year

The group setting will be calm, safe, and nurturing. Participants will be respectful and kind to one another. One of the crucial aspects of group discussion is that the participants who come together feel part of an empathetic circle with no judgment.

Participant’s privacy. Whatever participants share in the workshop discussions stays in the workshop. Please understand that personal or private information does not have to be shared with the group, and participants will never be required to divulge any particular information at any time. Sharing is encouraged but not forced.

Each burn injury is unique. It is essential to understand and honor each persons’ individual journey as they have possibly gone through the worst thing in “their” life, so it is best not to compare your experience with what you feel is a lesser or more significant injury, and greet their journey with compassion.

The Healing Phoenix Arts Photo Waiver

I grant the Healing Phoenix Arts organization the right to use my name, voice, image, and likeness for various media purposes without charge, ensuring that all materials can be used to promote burn awareness and support. By allowing the use of your images and/or stories, participants help raise awareness of burn injuries and the resources available for recovery. Taking photographs and/or videos during the workshop sessions are important for our sponsored supporters, and for a record of the event as proof positive of the work Healing Phoenix Arts is doing.

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