THE CONSCIOUS CIRCLE

Small Group Session Application

There is so much to learn when we come together, soul to soul and embark on a healing journey together... especially when it is an amazingly courageous woman like yourself. If you are open to sharing your heart, getting vulnerable in a comfort-filled, safe circle, then I welcome you to submit an application to join one of my Conscious Circles.
The Conscious Circle is a small group, with six or less women, who come together to explore conscious parenting as a team, in full support of one another's healing. We laugh, we cry & we heal together in this six-week session.
Complete the form below if you would like to be considered for our next Conscious Circle.
Your First Name
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Your Last Name
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Your E-mail Address
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Your Phone Number
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Relationship Status:
  • Single
  • In a Relationship
  • Married
  • Divorced
  • Widowed
  • It\\\'s Complicated
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Do you have children? / Are you pregnant?
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What are the Name(s) and Age(s) of your Child(ren)?
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Tell me more about why you want to explore conscious parenting?

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Tell me more about why you are considering The Conscious Circle?

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When are you available ?

Please let me know which time slot(s) work for you on the following dates: January 22 and 29, February 5, 12, and 26, and March 4
Select Your Time Zone
  • Eastern (GMT-4)
  • Central (GMT-5)
  • Mountain (GMT-6)
  • Pacific (GMT-7)
  • Other
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Other Time Zone
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Please make sure you mark at least one of the time slots as "I'm available"
To submit the form, please ensure you've selected a time slot.
To submit the form, please ensure you've selected a time slot.
Monday Session 1
10:00 AM EST
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Monday Session 1
09:00 AM CST
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Monday Session 1
08:00 AM MST
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Monday Session 1
07:00 AM PST
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Field is required!
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Monday Session 2
12:00 PM EST
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Monday Session 2
11:00 AM CST
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Field is required!
Monday Session 2
10:00 AM MST
Field is required!
Field is required!
Monday Session 2
09:00 AM PST
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Field is required!
Field is required!
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Will you be using Venmo as your payment method for purchasing the group session package?
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Please provide your Venmo Username so we can connect your payment with your application form.
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Anything else you would like to share:

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Complete your enrollment & secure your spot

(Full payment required)
Please select the package you are interested in and purchase using Venmo.
GROUP PACKAGE
Six weeks of education and discussions with like-minded moms, along with weekly hour meetings and weekly soul work, along with daily group chats.
GROUP PACKAGE + TXT SUPPORT
Receive 1:1 text message support to ask questions and process privately what's coming up for you in between group sessions.
GROUP PACKAGE + TXT SUPPORT + 1:1 SESSION
Receive an individual session via Zoom in between our group sessions to dedicate a full hour to you at a special session rate, offered only to group members.
If you prefer to make a package purchase using an alternative payment method like PayPal or Zelle: