Postpartum MENTAL Wellness Circle — Founding 100 Registration
Complete this short registration to activate your founding membership and reserve your first 30 days free.
About You
First Name
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Last Name
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Email Address
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example@example.com
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
City
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State / Province
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How would you like your name displayed inside the membership community?
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What Brought You Here
What interested you most about joining the Postpartum MENTAL Wellness Circle?
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Postpartum mental-wellness education
Learning how to better understand my emotions
The MENTAL Framework
Guided workbooks and worksheets
Partner and family communication tools
Learning from healthcare professionals
Connecting with other women
Understanding when additional support may be helpful
Maternal physical-wellness education
Other
What would you most like to receive from this community?
Which topics would you like us to cover?
Postpartum emotional wellness
Postpartum depression education
Postpartum anxiety education
The pressure to be the strong woman
Asking for help
Partner and family support
Self-care and emotional wellness
The MENTAL Framework
Pregnancy/postpartum body changes
Posture and body mechanics
Physical wellness after childbirth
Returning to work after having a baby
Other
Founding Membership Offer
Offer Details
Acknowledgments
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I understand that my first 30 days are free and that after the 30-day complimentary period, my membership will continue at $97 per month until I cancel.
I understand that submitting this form alone does not reserve my Founding 100 membership. I must also complete the membership activation step provided after this form.
Membership Understanding
Membership understanding
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I understand that the Postpartum MENTAL Wellness Circle is an educational wellness membership and is not individual medical or mental-health treatment.
Membership scope acknowledgment
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I understand that membership does not include individual psychiatric evaluations, psychotherapy, diagnosis, medication management, prescriptions, chiropractic treatment, personalized medical advice, or emergency services.
Email and updates consent
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I agree to receive membership-related emails, program updates, session reminders, and member resources from EMPATHRA Mental Health & Wellness Clinic LLC.
Marketing updates consent
Yes, I would also like to receive news, events, programs, and educational updates from EMPATHRA.
Submit Registration
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