Aubrey Webster Counseling

Step 1

About you

First name *Last name *

Email address *Use the email address where you would like to receive workshop information.

Step 2

Participating in Time Being

Is there anything about your current circumstances that you believe may affect your ability to participate safely and appropriately in an educational mindfulness group? *NoYes — I would like to discuss this with the facilitator before registration.

I understand that this workshop is educational and is not a substitute for psychotherapy, mental health treatment, or crisis services.

Step 3

Accessibility and accommodations

Do you have any accessibility needs or accommodations that would help you participate in the online workshop? *NoYes — please describe below.

You do not need to disclose a diagnosis. We are asking about accommodations that would help you participate.

Step 4

Registration acknowledgment

I understand that submitting this request does not guarantee registration.I understand that registration is subject to facilitator approval.I understand that, if approved, I will be required to electronically sign the informed consent/participation agreement before attending.I understand that payment information will be completed separately through Stripe after my registration is approved.I confirm that the information I have provided is accurate.I understand that email communication about the workshop will be sent to the email address I provided above.

This form is not monitored continuously and is not for emergencies. If you are in immediate danger or experiencing a mental health emergency, call 911 or go to the nearest emergency department. You can also call or text 988 to reach the Suicide & Crisis Lifeline.

Because it may take several weeks to begin services, do not wait for a response to this form if you are in crisis, having thoughts of harming yourself or someone else, or feel unable to stay safe.

Submitting this form does not establish a therapist-client relationship or guarantee services. A therapeutic relationship begins only after you and Aubrey mutually agree to work together and all required intake paperwork is complete.