Circle Registration Form

Please enter the number of Women being registered in this circle (including Convener):


Convener's Information
First Name:
Last Name:
Email Address:
Telephone Number (include area code):
Street Address:
City:
Province/State:
Postal Code/Zip Code:

Other Circle Members' Information:
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
First Name:
Last Name:
Email Address:
Telephone Number (include area code)
 
Meeting Details
Day of the week you will meet:
Time you will meet (include a.m. or p.m.):

Choose the location(s) you will be meeting:
alternating members’ homes
one member’s home
rented facility
other (please specify)  

Start Date:

End Date:


      

 
   
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