Chalice Circle Interest Form

Please fill out this form if you are interested in joining a chalice circle or helping to form a new chalice circle.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

What is your preferred method of communication?

*

Please select all that apply.

Email Phone Call Text

Where would you like to meet? (Select one or more options)

*

Please select all that apply.

Zoom Southwest Southeast UUCLV Northwest Northeast Anywhere

When are you available to meet? (select one or more options)

*

Please select all that apply.

Monday Morning Monday Afternoon Monday Evening Tuesday Morning Tuesday Afternoon Tuesday Evening Wednesday Morning Wednesday Afternoon Wednesday Evening Thursday Morning Thursday Afternoon Thursday Evening Friday Morning Friday Afternoon Friday Evening Saturday Morning Saturday Afternoon Saturday Evening Sunday Morning Sunday Afternoon Sunday Evening Other (please share your scheduling request in the accomodations box at the end of this form)

Are you willing to host a circle at your home?

*

Please select one option.

Yes No Sometimes Maybe

Are there any further accommodations or other things you think it would be helpful for us to know?

Description

Please fill out this form if you are interested in joining a chalice circle or helping to form a new chalice circle.

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