Matrescence & Me Registration Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How old is your baby/child?
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What brings you to this group?
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Is there anything specific you're navigating right now or hoping to explore? This helps us hold space for what mothers actually need.
What This Circle Is (And Isn't) THIS IS: ~A gentle space for reflection, language, and connection ~Support for the identity shift of becoming a mother ~A drop-in circle you can come to when you need it—once, often, or whenever you can ~A place where children are welcome exactly as they are ~A community that honors your lived experience without pathologizing it
THIS IS NOT: ~Medical care or medical advice ~A substitute for your healthcare provider or therapist ~Emergency mental health support (if you're in crisis, please call 988 or go to your nearest emergency room) ~A program you need to complete or keep up with
Important: Participation in Matrescence & Me does not establish a patient-provider relationship. If you have specific medical or mental health concerns, please consult with your healthcare provider or a licensed therapist.
Community Guidelines
This circle is built on respect, safety, and inclusivity. Here's what that means in practice:This is an inclusive space.All mothers are welcome here—regardless of race, ethnicity, religion, sexual orientation, gender identity, body size, ability, immigration status, or how you came to motherhood.
Racism, bigotry, homophobia, transphobia, ableism, and discrimination of any kind will not be tolerated. Period.
What's shared here stays here.Confidentiality is sacred. You can share your own story outside the circle, but you don't share anyone else's. No names, no identifying details, no "my friend in this group said..." If someone shares something vulnerable, that stays in the room.
We speak respectfully to each other.You don't have to agree with everyone, but you do have to be kind. No judgment, no unsolicited advice, no fixing, no "well actually" moments. We listen more than we solve. We validate before we respond.
Consent matters.If someone shares, you don't have to respond. If you don't want to share, you don't have to. Silence is welcome. Passing is always okay. You get to decide your own level of participation.
Children are part of this space.Nursing, crying, crawling, interrupting—all of it is welcome. You don't need to apologize for your child being a child. We hold space for the reality of mothering, not the Instagram version.
If harm happens, we address it.If someone violates these guidelines, we'll address it directly and with care. Depending on the situation, that might mean a private conversation, a repair process, or asking someone to leave. The goal is always accountability and safety, not punishment. We're all learning. Nobody gets this perfectly right all the time. If you make a mistake, own it, repair it, and keep showing up. Growth is part of the process.
By joining this circle, you're agreeing to uphold these values and help us maintain a space where all mothers can show up, be seen, and feel held. By signing below you agree to ALL of the Community Guidelines:
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Registration & Attendance ~Pre-Registration Required: You must register at least 24 hours in advance to secure your spot. This helps us plan for the right group size and ensure everyone gets the attention and support they deserve. ~Make-Up Sessions: Life with a baby is unpredictable—we get it. You're allowed ONE make-up session if you need to miss a class. Just let us know as soon as possible so we can get you scheduled. By signing below you acknowledge you have read and understand the registration and attendance policy.
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Cancellation Policy:This is a drop-in circle, which means you come when you can. But here's what you need to know: ~Cancel 24+ hours in advance: You're all good you can have a refund or credit toward a future gathering ~Cancel less than 24 hours before OR no-show: 1 make up session allowed/credit towards a future, NO REFUND. ~If you cancel less than 24 hours in advance or now show more than once, there are no refunds and no make-up session available. ~We know life with children is unpredictable. If you have extenuating circumstances, reach out and let's talk. We're human, and we'll work with you when we can. We offer a zoom option to help decrease barriers for attending. You can always switch to the zoom option if you can't make it in person. By signing below you acknowledge you have read and understand the cancellation, no-show and refund policy:
Agreement & Consent By registering for Matrescence & Me, I understand and agree to the following:
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This circle provides education, reflection, and support but is not medical care, medical advice, or mental health treatment
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Participation does not establish a patient-provider or therapist-client relationship
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I must pre-register at least 24 hours in advance□ No refunds will be provided after registration
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If I cancel or no-show with less than 24 hours notice, I forfeit my session with no refund and no make-up option
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I am allowed ONE make-up session for a missed gathering (with proper notice)
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I will contact my healthcare provider or mental health professional for any medical or mental health concerns
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I understand that children are welcome in this space and that noise, movement, and interruptions are part of the circle
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I understand that payment must be made to secure my spot in the group at least 24 hours before the group start time or my spot is not guaranteed to be held.
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I agree that I have read and will abide by the Community Guidelines
Submit
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