Circle of Security Registration
Please fill this form out with the required information as part of your registration. You will be receiving a bill through Paypal to complete the transaction within 2 business days. If payment is not received within 1 week of submitting registration, we will be unable to guarantee you a spot in the workshop. Please contact us at
with additional questions or concerns.
First and Last Name of Attendee(s)
Contact Email: We know privacy is important. This will only be used for communication for the workshop event. You information will not be shared for any other purposes.
August 4th, 11th, 18th, and 25th: Couple
August 4th, 11th, 18th, and 25th: Single
I would like to be notified of future series.
I am interested in a private series for a myself and my friends.
Age or Due Date of Baby
Questions, Accommodations, or Dietary Restrictions
CANCELLATION POLICY: Both partners are required to attend both workshop days. There is no refund or discount for missing time in the workshop; cancellations must be made in writing to
. Cancellations for the workshop made two weeks before the event or earlier are entitled to a refund, minus a $50 processing fee. Cancellations made after the two week deadline are refunded at 50% of the workshop cost. If you find yourself sick the night before or morning of the workshop, please notify us immediately - we want to be respectful of pregnant participants or new babies in attendance and want you to be able to take care of yourself! We can work with you to reschedule your attendance to the next available workshop. If you are unable to make the next workshop date, you will be refunded at 50% of the workshop cost. Thank you for your respect of the time and energy required to run this workshop.
Yes, I have read and agreed to the cancellation policy.
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