Woman Within Circle Training Registration

Name*
First Last
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.
Please select your Circle Training Preference*
These are scheduled Circle Training Workshops noted by location and date. To be added to a wait list, please contact Joanna at circledirector@womanwithinwesternusa.org.
Phone Number*
Email*
Enter Email Confirm Email
Address*
Street Address City or Town State / Province ZIP / Postal Coide Country

How did you find out about Woman Within Circles?*
- Attended a Woman Within Weekend or other program
- Through a Woman Within Circle member
- Through a man associated with Mankind Project
- Through the Woman Within website
- I attended a Circle Open House / Model Circle
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
Accommodations / Meals / Transportation*
This is a nonresidential workshop and I am responsible for my own accommodations, meals and transportation to and from the Circle Training Workshop.
- I understandstand that accommodations are not included

Payment
How will you be paying for circle training?*
If you are paying by credit card, you will be directed to our secure payment portal. when you Submit the form. If you are paying by check, please make: checks payable to: Woman Within Western USA. Mail to: Woman Within Western USA Circle Training c/o Beth Shipley, Treasurer 1579 13th St Arcata, CA 95521. Checks must be received four weeks prior to the Workshop in order for your spot to be reserved. ================================
- Credit Card
- Check
- Other
Name of person who will be making payment:*
Cancellations / Refunds*
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 understandstand the cancellation and refund policy
Payment Options*
- Payment Due of $195
Total
$0.00
Email
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