CARES Workshop Inquiry - Jesse Lewis Choose Love Movement

C.A.R.E.S. Workshop Inquiry

About You
Let's start with the basics. We'd like to know more about you, your organization and/or school.
Your Name*
First Last
Best Email Address*
Best Contact Phone Number?*
Best Time of Day To Reach You?*
Select all that apply.
- Early Mornings (7am-9am)
- Mid Mornings (10am-12pm)
- Early Afternoons (1pm-3pm)
- Late Afternoons (4pm-6pm)
- Evenings (7pm-9pm)
- No Preference
Are you associated with or do you work for one (or more schools?)*
(This information will help us identify whether or not we have worked with the school(s) in the past or are currently in conversations with other contacts at the school.)
School Name*

Please enter full name of school, i.e. "Lincoln Elementary School." If you are associated with or work for multiple schools, please select one for the purposes of this form.
Organization Name*
School or Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If someone referred you to our workshops, would you kindly share their name so we can thank them?
Workshop Interest
I am interested in ...*
(Select all that apply)
- "Foundations in Choosing Love: SELf Care for Educators and Leaders" Workshop
- "Choose Love Master Class Series"
- Other Implementation and/or Support Workshop Options
- None of these options apply.
Kickoff Presentation with Choose Love Founder Scarlett Lewis*
What better way to kick off the Choose Love program with staff, students and/or parents than to experience Scarlett's dynamic and inspirational reminder of why this program is so essential to students, educators and caregivers? $5,000 for a 90-minute ZOOM.
- Yes! I'd love to have Scarlett kick off our Choose Love program!
- Not at this time, thanks!
Next Steps
Please contact me:*
- to tell me more about the workshops and availability.
- to make payment arrangements and reserve my workshop dates.
- to discuss customized programming.
- to discuss something else.
Anything else you would like to add?
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THE STORY BEHIND THE MOVEMENT

Choose Love Movement is inspired by 6-year-old Jesse Lewis, his final acts of love, and his mother’s path of forgiveness after Jesse was killed in a school shooting.