Reclaiming Ourselves Circles: Interest and Availabilities Form See info on the current Winter-Spring 2015 Reclaiming Ourselves program here: http://core2coeur.com/reclaiming-ourselves-retreats-womens-series * Required Name (Full if possible so I can get back to you) * This is a required question Email Address (so I can get back to you if you requested it) * Note: I will never sell nor share your emails to another party. I also won't sign you up to my mailing list without your consent. If you do so desire, indicate your choice below. This is a required question In which format are you most interested? Select all that applies Retreat Only Women's 8 Week Series Only Coaching Only Whole Program (Retreat + Series + Coaching + Bonuses) This is a required question For the Retreat(s), what is your preference Select All that Apply DC-based 1 day retreat 1-3h DC range 2 1/2 day retreat (Fri night to Sunday afternoon) This is a required question For any of the Series Select All that Apply Weekday Mornings (between 9am and noon) Weekday Lunchtimes (between 11:30-1:30pm) Weekday Early Afternoons (between 1-3pm) Weekday Evenings (7-9pm) Weekend Options Only (daylongs or fewer sessions of 3-5h each) This is a required question For Weekdays Series please select all that apply for you Monday Tuesday Wednesday Thursday Friday This is a required question Please provide any additional comments or your preference Note that I can't accommodate all requests but will try my very best to hold your information in the planning of future events This is a required question If you would like a short connection to see if this program would best meet your needs Please provide your telephone number or email address below This is a required question Do you want me to add you to Core To Coeur / Peace Circle Center mailing list? http://eepurl.com/grUmn Yes No Will enter it myself (http://eepurl.com/grUmn) This is a required question Never submit passwords through Google Forms. Powered by Google Forms This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms Sorry, the comment form is closed at this time.