Mothering Arts Fall Circle '25
Please fill out this form to be notified when enrollment opens. 
Next session will gather from September 26th-October 31st.
Email *
Phone number:
Your name and birthday
*
Child's name and birthday
Your pronouns
What are you hoping to experience in our class?
What would you like me to know about your family, your family constellation, or your birth/adoption/surrogacy/foster experience?
Is there anything in particular that you would like to learn to support you and your baby's well-being?
Please use the sliding scale guide to determine your fair contribution. Please share how much you can invest between $325-$450. Sliding scale is available so that those mamas who can afford to pay extra can contribute toward a scholarship for those mamas who may need support to join.
Would you like a part of your contribution to go toward sponsoring a parent who has less access to resources? If so, how much would you like to pay forward? Thank you.
If you change your mind or are unable to attend, two weeks notice is required for a full refund (minus the deposit). Do you acknowledge this?
If there is enough interest, we will form a second afternoon group. Please share your availability.
Clear selection
We will gather outdoors in the Spring and Fall when weather permits. In the colder months we will cozy up  indoors unmasked, with a purified running, window open, fire burning and fan on. Does that feel comfortable for you?
Clear selection
How did you hear about Mothering Arts?
Looking forward to wrapping you up in support and nourishment!
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms