Community Birth Circle - October 6th 10AM-1PM

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Registration

Email *

Name and Pronouns: *

What brings you to our circle? *

I am pregnant

I am postpartum

I am pre-conception and desire a pregnancy

I am a birth worker

If attending with others, please include their names and email addresses below: (Please do not include anyone who has registered independently):

We often take photos of our gatherings and love to share them to our social media to promote other events or simply share with our community. Do you consent to images you are in to be shared in this way? (Consent is ALWAYS revokable): *

Yes! I consent to share any group or individual images I am in

No, I do not consent to my image being shared on social media

I would like to review any images I am in first before consenting

What are you hoping to get out of this gathering? (Be as specific or ambiguous as you like!): *

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