MOM & BABY CIRCLE INTAKE FORM | Tiempo de ternura

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English (US)
Español (ES)

WELCOME

Name*

Country in which you are located *

Email*

WhatsApp Number

Your baby's name and age (in months)*

Contact Preference

Would you like to join our private community WhatsApp group? It's a private space to stay connected between circles, where you can share the little moments of your journey, exchange encouragement with other mothers, and receive uplifting tips and nuggets of wisdom to support you and your baby throughout our 12 weeks together.

Yes, I'm in!

No, not for me.

How many sessions would you like to sign up for?

1 Drop In Session

6 Session Block

12 Sessions

What helps you feel safe and at ease when you're in a group like this? What would make this space feel supportive for you (practically or emotionally)?

Is there any other information you would like to share with us at this stage? It could be logistical, something about your family, a question you might have.... anything! :)

How did you find out about this?

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