Circle of Security Registration
Please fill this form out with the required information as part of your registration. Once you choose submit, there will be two links for payment through PayPal, depending on if you are registering as a couple or an individual. If payment is not received within 1 week of submitting registration, I am unable to guarantee you a spot in the series. If you have additional questions or concerns, please contact me at
First and Last Name of Attendee(s)
Contact Email: I know privacy is important. This will only be used for communication for the workshop event/workshop reminders. You information will not be shared or used for any other purposes.
Tuesday evenings, 6-8pm: October 2nd, 9th, 16th, and 30th
I would like to be notified of future series.
I am interested in a private series for a myself and my friends (minimum 2 families)
Age of Child/Children
Questions, Accommodations, or Dietary Restrictions
CANCELLATION POLICY: If registering as a couple, both partners are encouraged to attend all events in the series; if registering as an individual, you are encouraged to attend all events in the series. There is no refund or discount for missing sessions in the workshop; cancellations must be made in writing to
. Cancellations for the series 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. I do require a minimum of three families to run the workshop series; you will be informed a week prior to the first session if there is a concern about census. In the event that there are not enough registered families, you will be refunded your full registration fee. If you find yourself sick the night before or morning of the series, please notify me immediately - I want to be respectful of participants or new babies in attendance and also want you to be able to take care of yourself! Depending on schedules, I will discuss opportunities for a make-up session. Each family is entitled to one make-up session per series at no additional cost. Make-up session scheduling is at the discretion of the facilitator.Thank you for your respect of the time and energy required to run this series.
Yes, I have read and agreed to the cancellation policy.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service