Awaken - Women's Circle Application
Full Name
*
First Name
Last Name
E-mail Address
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Phone Number
Format: (000) 000-0000.
Age
How did you hear about this course?
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Friend
Social media
Email
Other
Tell me a little about yourself—what season of life or motherhood are you currently in?
What drew you to this women’s circle? What are you hoping to receive or experience through this journey?
Have you participated in any personal development, healing, or women’s circles before? (No experience needed—this just helps me understand your background.)
Are there particular themes that feel imporant for you righr now—e.g., identity, boundaries, burnout, self-worth, creativity, etc.?
What parts of yourself do you feel ready (or curious) to explore or reclaim in this space?
Do you have any needs or circumstances I should be aware of to best support you in this space? (Accessibility, childcare challenges, emotional triggers, etc.)
Are you able to attend all 5 in-person sessions? (If not, please share which dates you might miss.)
Do you give permission for your photo(s) from the final session to be used for promotional purposes? (Yes / No / With approval)
Yes
No
With approval
Is there anything else you’d like me to know as you enter this journey?
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