Your Circle Journey & the Ripple Effect

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Circle is your opportunity to connect into community. The amazing experience of being seen and witnessed by others and doing the same for them.

Rather than a traditional membership for Circle we have created the opportunity for you to contribute to others and pay it forward

Email *

Your Full Name *

Will you be continuing in fortnightly circle ? *

Yes definitely

I will not be continuing at this time

I am undecided

Required

Your circle membership

We get to be partners in paying it forward and being the ripple effect. Your circle coaching program lasts for 12 months. In terms of membership you are not bound to any type of contract. The agreement is simply one of personal integrity and if at any point if you need to cease payments simply let us know and they will be stopped

$ 6.50 per week - covers the circle coaching sessions for your circle

$13 per week - covers your circle coaching sessions & circle coaching for one other person

$ 20 per week - covers your circle sessions and one person to do the Shift

$ 33 per week - covers your membership and two people to do the Shift

I am in, but would like some financial support

I would like to contribute a different amount

If you have selected "contribute a different amount" or requested "financial support" please advise how much you would like to contribute per week or as a once off payment

How often would you like to make your payments?

weekly

monthly

quarterly

annually

Clear form

Never submit passwords through Google Forms.

This form was created inside of Evolution to Wellbeing. Report Abuse

Forms