Circle of Security Expressions of Interest
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Phone Number
*
Age of Child/Children
*
The upcoming workshop is geared towards expectant parents and those with kids under 5 years of age.
Are You:
Expectant parent
Parent
Kinship carer
Foster Parent
Grandparent
Other
What interests you about Circle of Security?
Understanding my child's behaviour
Building a stronger relationship
Hearing from a professional
Other
Will you be attending with a partner/co-parent?
Yes
No
Unsure
Have you attended Circle of Security before?
Yes
No
Unsure
How did you hear about this workshop?
GP
Maternal & Child Health Nurse
Psych/Counsellor
Friend or family
Social media
Website
Other
Is there anything you'd like the facilitator to know about your child or family circumstances?
e.g Separation/divorce, Foster care/kinship care, Neurodiversity, Sleep difficulties, Anxiety or behavioural concerns
Submit
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