REPAIR Group Coaching Application
At this time REPAIR, cycle-breaking coaching is offered specifically for individuals who identify as mothers. By "mothers" we mean anyone who self-identifies as a mother, regardless of gender identity, biological relationship, pathway to parenthood, or family structure. This explicitly includes adoptive mothers, foster mothers, kinship caregivers, step-parents, and other non-biological parents who experience themselves as occupying a mothering role. While many caregivers share overlapping experiences, this particular program is intentionally designed to support the specific social position and lived experience of mothering, and to create a group space grounded in resonance, safety, and shared understanding. Please select the option that best fits you.
I identify as a mother
I do NOT identify as a mother
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age range
Please Select
18-24
25-30
31-35
36-40
40-45
46-50
51-55
56-60
61-65
65+
Time Zone
Age(s) of Child(ren)
0-2
3-5
6-10
11-13
14-17
18+
Please check all that apply. This helps us ensure this program is a safe and supportive match.
I am emotionally stable enough to engage in reflective discussions about parenting and personal growth.
I am not currently in crisis or experiencing suicidal thoughts.
I am not in active addiction or substance withdrawal.
I am able to take personal responsibility for my emotional safety during coaching sessions.
I understand this program is not psychotherapy or medical treatment.
I can seek external, local, professional or crisis support if I need it.
What draws you to this program?
What would you most like to gain from coaching?
Group coaching is provided live, via Zoom, on Saturdays from 12-2pm Eastern time. The program consists of 16 group coaching sessions, followed by monthly group integration sessions. Session dates are as follows: February 7th-28th, OFF March 7th; March 14th-April 4th, OFF April 11th; April 18th-May 9th, OFF May 16th; May 23rd-June 13. Monthly integration sessions are scheduled for: July 18th, August 15th, September 19th, October 17th, November 21st, December 12th.
Sign me up for this cohort
Please tell me about future cohorts/timing
I need something less intensive right now (we will reach out)
The REPAIR™ Group Coaching Program is a high-touch, year-long container designed to support deep, sustained cycle-breaking work. It includes 16 facilitated group sessions, access to the Circle community and course library, and 6 months of monthly integration and support meetings.The investment for this program is $319/month for 12 months (or $3,600 paid in full, reflecting a discounted rate).We believe it’s important to be transparent about cost at the application stage. Financial stress can meaningfully impact capacity for reflective and relational work, and we want to ensure that this program feels supportive rather than stretching or destabilizing.Please share where you’re currently landing in relation to this investment. Your response helps us assess fit and, where appropriate, recommend other ways to work together that may better match your current capacity.
I am comfortable with the investment and prepared to commit at this level if accepted into the program.
I am interested and may be able to make this work, but would benefit from a conversation about pacing or payment options.
This investment is currently out of reach, and I would appreciate being informed about less intensive or lower-cost offerings (e.g., workshops, short courses, community membership).
I’m unsure whether this program is the right fit financially or structurally and would like guidance on alternative options.
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