JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Moon Water Collective
For a shared space of deep diving women identifying, or non-binary individuals
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Are you interested in feminine empowerment?
Yes! Sign me up!
I am, but I'm not as enthusiastic about it as the response above.
I am not... why am I here again?
Clear selection
Would you like to subscribe to our bi-weekly newsletter?
This is specifically sent out a few days before the ceremony with a list of suggested items to bring and overarching topics. We promise not to spam you.
Sign me up! I would like reminders about what each event will be about.
Maybe. I just want one email for the next event, and see if I will join after
No thanks, I'll just show up and see what happens
Clear selection
Would you like to join our google group where we can email others since not all of us are on social media?
Yes, please!
I would just like to come to the events please
Clear selection
What is your preferred name that we should address you as?
Your answer
What pronouns do you prefer?
Your answer
How did you find out about us?
Meetup
Facebook
Word of mouth through another participant
One of the hosts invited me
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Eagle Therapies LLC.
Report Abuse
Forms
