We have some great circles happening in February, and details will be posted soon for those in March, April, and May, along with the link for online registration.

To sign up for February, you can call us at 978 371-0469, leave a message, and we will get back to you. Or you can print out this form, fill it in by hand, and mail it with a check to:

The Women’s Well Registrar
Box 1410
Concord, MA 01742

Always call a day or two ahead to confirm the status of a class. Information about snow cancellations etc is included in our recorded message at 978 371-0469. Circles with low enrollment may be cancelled unless you let us know you want to come!

                                                                                                                         Total:    $______


Your   Name____________________________________________________

Address________________________________________________________

City_______________________________________State_____Zip_________

Home  Phone___________________Work  Phone___________________

Email__________________________________________________________

Our preference is to confirm registrations by email. Please clearly print your email address.

Where did you hear about the Women’s Well?________________________



Payment Policy:
Unless otherwise indicated, participants are required to register and pay in advance. Registrations paid one week in advance are eligible for our early discounts. We really appreciate receiving registrations well before the class begins.

Cancellation Policy:
When a participant cancels registration, 50% of the tuition is non-refundable; however, one week's advance notice entitles participant to transfer the non-refundable portion to another Women’s Well course.

Payment Enclosed:
Tuition Total (from above)                                          $______________

Gift to help support the Women’s Well (tax-deductible) $______________

                                                                     TOTAL $______________

Make check payable to:
The Women’s Well


_ I am not registering for a course at this time, but please add me to your mailing list.
_ Please add my friend to your mailing list:

Friend’s Name_________________________________________________

Address______________________________________________________

For more program information, please call: 978-371-0469.