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Circle Of Strength Registration Form
Event Timing:
August 28th 2024
Hosted By:
Mr Ja'Anubis Iqhawe
Event Address:
Well-Being Studio, 50 Montgomery Close, CR4 1XT
Contact us:
0208 685 2272 or JaAnubis@mertonconnected.co.uk
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* Indicates required question
How did you hear about us?
*
Social Prescriber
Social Media
Saw/Received a Flyer
Word Of Mouth
Merton Connected
MOAT Housing
Other:
Full Name
*
Your answer
Email
*
Your answer
Telephone Number
*
Your answer
Are you:
*
Local Resident
Resident of Merton
London Resident
Other:
If you ticked "London Resident" or "Other", what Borough do you live in?
Your answer
Post code
*
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Allergies
Religious requirements (I.e. Halal etc.)
Other:
If other, what are your restriction?
Your answer
What made you want to join a Men's Circle?
*
Your answer
What do you wish to gain from joining a Men's Circle?
*
Your answer
Have you joined/been apart of a Men's Circle before?
*
Yes
No
Maybe
Other:
What is your preferred time?
*
10.30am - 12.30pm
1pm - 3pm
5pm-7pm
Other:
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