Registration Form - HC Circle of Connection
A person initiating or starting a Heartful Communication Study Group which we call a 'Circle of Connection' (CoC), would be the coordinator. These study groups are currently open only for Abhyasi in India in English Language.
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Email *
Coordinator's - First Name *
Coordinator's - Last Name *
Coordinator's - Centre *
Suitable Day & Time for the first Session of CoC team ( Ensure availability of all participants before you select the day and time )
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 AM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Mobile Number *
Pls enter valid 10 digit mobile no. without country code. For Example :- 9898032865  OR 6345693271   OR  8456439821  OR  7453298343
Names of your CoC participants
Other members of your HC Study Group - maximum of 4 in a group
Participant 1 *
Participant 1: First Name-Last Name (For Example -  Preeti Parekh)
Participant 2 ( Name of Participant 2 should be different from Participant 1 ) *
Participant 2: First Name-Last Name (For Example -  Preeti Parekh)
Participant 3 ( Name of Participant 3 should be different from Participant 1 and 2) *
Participant 3: First Name-Last Name (For Example -  Preeti Parekh)
Participant 4 ( Name of Participant 3 should be different from Participant 1,2 & 3)
Participant 4: First Name-Last Name (For Example -  Preeti Parekh)
Have you attended any HC workshop? *
A copy of your responses will be emailed to the address you provided.
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