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701 N 20th Street • Colorado Springs CO 80904 • 719–548–1000 • 1–877–871–1495 • fax: 719–548–9407

Wellbriety Training Programs Registration

People often contact the White Bison office to learn where our programs are being implemented. Having this information helps supporters of the Wellbriety Movement gain knowledge of resources nearby.

If you are facilitating one of these programs, or know of people and Circles that are taking place, please get in touch with us to provide that information. Or, if you know people who are using the White Bison materials and are advocates or supporters, please also share that information with us.

The programs we are especially interested in are the follows:

Firestarters (Medicine Wheel and the 12 Steps for Men or Medicine Wheel and the 12 Steps for Women)
Sons of Tradition
Daughters of Tradition
Medicine Wheel and the 12 Steps for Youth
Wellbriety Re-Entry Program (coming soon)
Families of Tradition
Fathers of Tradition

Please fill out the online registration below, after you have filled out the appropriate fields, click on the "submit" button once.

Wellbriety Group Name Registration

TYPE OF PROGRAM:	- Daughters of Tradition - Families of Tradition - Fathers of Tradition - Medicine Wheel & 12 Steps for Youth - Sons of Tradition

FACILITATOR(S):

If you are partnering with someone else in your community, please include all facilitator names.


FACILITATOR PHONE NUMBER:

COMMUNITY MEETINGS ARE CONDUCTED IN:

This could be a tribe, town, community center, etc. We will be putting this information on a large map to show all the areas circles have begun. This will be available on our website.


PARTICULAR EMPHASIS :

Are you targeting a particular group such as women, men, youth, prisoners, alcoholics, etc. It will help us to know who we are reaching.


GROUP MEETING SCHEDULE:
Please include the day and time the meeting will take place.

NAME THE GROUP HAS CHOSEN:


GROUP ADDRESS:


GROUP E-MAIL:

GROUP AVAILABILITY:	Open to new members Closed to new members
Please indicate whether this group meeting is open or closed to new members.

VERIFICATION CODE:	Please enter the code from the image below.


© White Bison White Bison, inc. 701 N 20th Street, Colorado Springs, CO 80904	Email White Bison

701 N 20th Street • Colorado Springs CO 80904 • 719–548–1000 • 1–877–871–1495 • fax: 719–548–9407

Wellbriety Training Programs Registration