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What are you looking for?
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?
Yes
No
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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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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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When are you available ?
Please check the time slot(s) that works for you.
Monday
12:00 PM EST
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Thursday
12:00 PM EST
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Anything else you would like to share:
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