Please answer all the questions below so we can get to know you better and set the tone for your Encounter Experience. Please enable JavaScript in your browser to complete this form.Please confirm your Name and Surname *What is your current age? *Please confirm your phone number below *Please confirm your email address below *Which city will you be travelling from?In an effort to know you better, please select what best describes your current relationship status below:SingleMarriedDivorcedWidowedComplicatedSeparatedIn a relationshipLookingNot LookingOther (Please specify)Do you have children? *YesNoHow many children do you have? Please specify their names and agesPlease share your current parenting statusSingle ParentCo-Parenting Living TogetherCo-Parenting Living apartOtherHave you ever been diagnosed with a mental health condition? *YesNoPlease share the 3 areas of your life that you feel you need help with the most. What are your reasons for attending this event? *What is your line of Work/Career/Business Venture? *Submit
