Hemlock Circles

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Hemlock Circles

Fill out the form below to express your interest in joining a newly formed Hemlock Circle, becoming a Circle Leader, or just to learn more about our new initiative as it grows.

Hemlock Circles are a community-driven program where members and interested individuals regularly gather in a supportive, intimate environment to share insights and experiences on end-of-life topics.

Check out our website for more information.

Name *

Email address *

Phone number *

Zip code *

Preferred method(s) of contact *

Phone call

Text message

No preference

Required

Potential areas of interest *

Circle Leader

Circle Participant

Circle Coordinator (help Leaders form and maintain active Circles)

Required

Format *

I want to lead and/or join an in-person Circle

I want to lead and/or join a virtual Circle (held over Zoom or similar platform)

No preference

Consent *

I agree to allow Hemlock Society of San Diego to share the information provided on this form for the purposes of forming and supporting Hemlock Circles.

I do not agree to having my information shared for the purposes of forming and supporting Hemlock Circles.

Required

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