Virtual Mama Circle Registration (Mar. 31, 2021 at 1pm)
Please complete the registration form to join the virtual Mama Circle hosted by Jess Kuypers - Birth and Breastfeeding. Your Google Meet link will be emailed to you on the morning of the meeting date. You will need a device with a webcam and microphone to interact with others.
* Required
Name
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Your answer
Email Address
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Your answer
Where do you live?
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Your answer
How many children do you have and what are their ages?
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Your answer
If there are any topics you would like to discuss with me or the other mamas, jot them down below and I will bring it up during the Mama Circle.
Your answer
Upon attending this Virtual Mama Circle, I agree to interact in a respectful manner with all of the other participants. Disrespect of any kind will not be tolerated and will result in my immediate removal from the zoom meeting.
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