Woman Within Circle Training Payment

How will you create create a safe, confidential, cohesive group that can support each woman’s path towards empowerment without judgement, advice, or storytelling?

You will find out soon. Thank you for taking an important step by making your Circle Training payment and completing your registration for the next Woman Within® Circle Training presented by Woman Within Western USA. Watch your email inbox. You will receive specific details and followup several days or weeks before the Training.

All of your information is safe, secure and, and kept strictly confidential.

The information you provide will be encrypted for your protection. If you have applied for financial assistance, the scholarship committee will be in touch shortly. If approved, a unique coupon code will be provided.

Please re-submit your Circle Training Registration with payment below:

This field is for validation purposes and should be left unchanged.

Many women join Woman Within by being part of a Circle. Even if you have completed a Woman Within Weekend, Circle Training is the beginning step to joining or starting a circle.
If you are unable to attend due to financial constraints, please request a partial scholarship here before registering.

Circle Training Offerings(Required)

Please select an available training date below.

September 26-27 Circle Training (Online)

December 12-13 Circle Training (Online)

Name(Required)

First Last

Pronouns

If you would like your pronouns included on your nametag, please state them here.

Phone Number(Required)

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address City or Town State / Province ZIP / Postal Coide Country

About You

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Race (optional)

Please check all that correspond to how you identify your self. These race categories generally reflect social definitions in the U.S. and are not an attempt to define race biologically, anthropologically, or genetically. We recognize that the race categories include racial and national origins and socio-cultural groups. You are free to choose with buttons to select or not select. We ask the question this way to comply with the federal government’s standards for collecting data on race and Hispanic origin.

Hispanic, Latino, or Spanish

White

Black or African American

American Indian or Alaska Native

Asian

Pacific Islander

some other race

Other

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Age (optional)

Please choose one.

18 -24 years old

25-34 years old

35-44 years old

45-54 years old

55-64 years old

65-74 years old

75 and older

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Veteran's Status (optional)

We ask questions about a person’s military service to create estimates of our community's veterans and their needs. Please choose below your status on active duty in the U.S. Armed Forces, military Reserves, or National Guard.

I am now on full-time active duty

I am no longer on active duty

I have not been on active duty

Which, if any, Woman Within programs have you attended?(Required)

Woman Within Weekend

Previous Circle Training

Skills Workshop

Woman Within Level 2

Open Circle/s

None

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History only: Which, if any, Woman Within programs have you attended?(Required)

Do you have any physical limitations or other concerns?(Required)

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Are you allergic to any of the following?

Some workshops are held in women's homes so we need to know -- are you allergic to:

cats

dogs

birds

sage

Allergies

Some workshops are held in women's home so we need to know -- are you allergic to any of the following?

How did you find out about Woman Within Circles?(Required)

At another Woman Within event

From a Woman Within member

From a Mankind Project member

Social Media

An online search

Other

Travel and Logistics

My contact details can be shared with other women attending the Woman Within Circle for the purpose of arranging shared travel and logistics.

I agree to share my contact information

Cancellations / Refunds(Required)

This payment is non-refundable within 30 days of the selected workshop unless the workshop is cancelled by Woman Within due insufficient enrollment or emergency. I have read and understand Cancellation / Refunds.

Yes

Payment

In-Person April 18-19, 9am-5pm PST Portland Circle Training is currently full.

By clicking “submit”, your information will be added to the waitlist and we will contact you by phone and email if a space becomes available. The registration fee will be due at that time.

Circle Training Registration

Price:

I have been approved for financial aid

Yes

Financial Aid Registration Fee

Enter your balance due.

Total

If financial constraints would prohibit you from attending this training, please request a partial scholarship here or email our Scholarship Committee, scholarships@womanwithinwesternusa.org.

Credit Card(Required)