Messy Hearts Circle
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Registration Form – Mar 14, 2026
Saturday, March 14, 5:30–7:30 p.m.
Messy Hearts Circle is a small, facilitated group experience for people of all backgrounds who want a safe, non-judgmental space to reflect, share, and listen deeply. It’s a structured, confidential space for sharing and reflection using guided prompts and simple connection exercises. It is not therapy, not coaching, and not a support group. You’re welcome to participate at your own pace. No pressure to be eloquent, healed, or certain. Time commitment: 2 hours in person. Location: Brooklyn, Bedstuy, exact address shared after confirmation. Capacity: 6–8.
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Name
*
First
Last
(Please group check
Meetup/ Luma name (if you RSVPed there)
Please enter the exact name used on Meetup or Luma so that we can match your reservation
Pronouns
she/her
he/him
they/them
other
prefer not to say
Email
*
Phone number (Optional, but recommended for day-of logistics)
City / neighborhood
What’s drawing you to this circle right now?
*
Which themes feel most relevant for you lately? (Check all that apply)
Love / longing / heartbreak
Loneliness / isolation
Dating between worlds
Family expectations / guilt
Identity / belonging
Desire / shame / secrecy
Friendship / community
Life transitions
Group container agreements (Please check each box to confirm you understand the container)
*
I understand this is not therapy and not a crisis service.
I agree to confidentiality: I won’t share identifying details or personal stories of others outside the circle.
I agree to no fixing: I will not give advice unless someone explicitly asks for it.
I agree to speak from my own experience (“I” statements) and avoid generalizations about groups.
I understand participation is voluntary and I can pass on any prompt.
I agree to be respectful and consent-aware, including around sensitive topics (religion, sex, politics, trauma, etc.).
I agree to no recording (audio/video/screenshots) and to keep my phone away unless needed.
Anything that helps you feel safe in group spaces? Anything that tends to make groups hard for you?
Do you feel able to participate in a group conversation without needing immediate mental health support?
*
Yes
Not sure
No
Mobility, hearing, scent sensitivity, seating, pet allergies (cats live in the home), or anything else that would help you feel more comfortable participating?
*
This circle is hosted in a home where cats live. While the cats will be kept in a separate room during the gathering, cat hair/dander may still be present in shared spaces.
Consent to be contacted about this event + future circles
*
— Select Choice —
Yes, you can email me about this registration and future circles
Only about this specific event
Submit