Gold Groups Fall 2019 *Required fields Group Level*Please choose which level you want to register for below.- Select a Level -Foundations 1Foundations 2Level 3: This is MEMentorship (Not Currently Available)Foundations 1 Options*Prerequisite: Complete a Women Revealed Release Your Burden weekend.If none of the groups listed fit with your schedule, please email email@example.com with your preferred days/times.- Select a Class -Sunday, 7:00-9:00pm, ONLINE, Leader: Melanie LabardiniTuesday, 7:00-9:00pm, ONLINE, Leader: TBATuesday, 7:00-9:00pm, In-Person: Pinehurst, TX, Leader: Erica McNallyFoundations 2 Options*Prerequisite: Foundations 1If none of the days/times listed fit with your schedule, please email firstname.lastname@example.org with your preferred days/times.- Select a Class -Level 3: This is ME Group Options*Prerequisite: Foundations 1 & 2If none of the group options fit with your schedule, please email email@example.com with your preferred days/times.- Select a Class -Optional: Women Revealed Carpet Facilitator Training and Certification ProgramPrerequisite: Foundations 1. If you are interested in learning more about this opportunity, simply check the box below and you will be contacted soon with more information. Send me more information about carpet facilitation training through Women Revealed. I'm also interested in learning more about... Post-Weekend Transition Group Leader Post-Weekend Graduation/Celebration Coordinator Gold Group Leader Weekend Participant Coordinator Spiritual Life Committee Women Revealed Ambassador Social/Fellowship Committee Photography/Videography/Social Media Outreach Fundraising Committee Other service/leadership opportunities that may not be listed Other:Contact InformationName* First Last Email* Enter Email Confirm Email Phone*Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country About YouWhen was your initial weekend?Describe any major emotional events you have experienced in the last five years.What do you want to get out of participating in a Gold Group? Support Connection Education Emotional Growth Other: Other:Have you been in any other women's groups in the past?YesNoPlease check the box below to indicate you have read and agree to the statement below:I understand that by participating in this group is a commitment of my time and money. I plan to attend every meeting. In the event that I have a legitimate reason to miss a meeting, I will contact my group leader at least 24 hours before the meeting to let her know I will not be attending. I will contact a group member after the missed meeting to catch up on what I missed. I acknowledge that I am stable enough to participate in a group. I have a support system in place, and I take responsibility for reaching out for professional help should the need arise over the course of the group. I understand that this group is not a replacement for professional counseling or care that I may already be receiving and will not use it as such. I agree to honor these commitments. PaymentRegister below by selecting Full Session payment plan ($300), or choose to pay in (4) four monthly Auto-Draft installments of $80 ($320). If you need to make alternate financial arrangements, please contact firstname.lastname@example.org *Important: If you have an outstanding balance with WR and would like to register, you must first contact email@example.com.Select Payment Plan:*Full SessionAuto-Draft (4 monthly installments of $80)Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name TotalYour credit card will be charged $300 when you select "Register" below. $0.00 TotalYour credit card will charged $80 on November 18th, and again in the months of December, January and February. $0.00 NoteCommentsThis field is for validation purposes and should be left unchanged.