Welcome!!

We at Birthing the Gifts, Inc. are dedicated to fostering the social-emotional wellness of youth, young adults, and families. Our mission is to provide a safe, compassionate space for growth and development through educational retreats, resources, and community events. We value your interest in our services and look forward to understanding your needs better. Please fill out this form to help us tailor our offerings to your specific requirements.

Full Name

Name of Contact Person *

Organization (if applicable)

Contact Information (Phone Number) *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Website (if applicable)

Type of Event You Would Like *

Educational Workshop

Health and Wellness

Retreat

What is The Purpose of The Event? What Are The Desired Outcomes/Objectives of The Event? *

Topics of Interest (Select all that apply) *

Healthy Parenting

ADHD

Mood Disorders and Anxiety

Trauma

Problem Behaviors

Skills to Balance Emotions and Behaviors (Self-Regulation)

Radical Self-Care

Being our Authentic Selves

Limiting Beliefs

Discovering and Stepping into Your Purpose

Healthy Relationships

Other:

Audience Demographics (check all that apply) *

Parents

Educators

Faith leaders

Children and Youth

Not sure yet

Other:

Expected Number of Participants *

Estimated Budget for the Event *

Additional Information (any other information or special requirements)

Consent *

I consent to Birthing the Gifts, Inc. using this information to design and propose events options tailored to my/our needs.