Book Club Waitlist & Survey

1
Your full name* This field is required.
2
Email* This field is required.Be sure to double check spelling
example@example.com
3
Phone Number
Area Code
Phone Number
4
Your preferred date and time for your circle* This field is required.
5
What's the occasion for this circle?* This field is required.Ex: Birthday, Bridal Shower, Life Transitions, Friend Gathering, Just Because, etc
Birthday
Bridal Shower
Friend Gathering
Life Transition
New Baby / Mother's Blessing
Just Because/ something else
6
If your occasion wasn't listed in the previous question, go ahead and describe it briefly below:
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7
Location of your gathering (Zip code only for now)* This field is required.
8
How many women do you expect to attend? (6-10 max)* This field is required.
9
Do you have a preferred theme? What do you desire for your guests to walk away feeling?* This field is required.
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10
Any accessibility needs or special considerations I should know about?* This field is required.
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11
How did you hear about me?* This field is required.
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Should be Empty: