Get Started - Seven Circles

Getting Started

Welcome to Seven Circles by SHALVA! Please fill out the information below. Once completed, you will receive an email with more details to get you started.

Questions? Email us: [email protected]

SHALVA is grateful to provide this program to our community for free. For those have the capacity, we encourage you to make a donation. Click here to donate. Any amount is appreciated. Thank you!

Register for Seven Circles

Step 1 of 3

Contact Details

Partner A(Required)

First Last

Partner B(Required)

First Last

Date of Birth

MM/DD/YYYY

Date of Birth

MM/DD/YYYY

Email(Required)

Enter Email Confirm Email

Email(Required)

Enter Email Confirm Email

Phone

Relationship Information

Length of Relationship

Relationship Status

Do you live together?

Other (optional)

Address(Required)

Street Address Address Line 2 City State ZIP Code

*We will be sending you a box of fun and engaging gifts for you to use throughout your Seven Circles experience. Please share the appropriate mailing address to send this experience box. Keep in mind, contents will be linked to the Seven Circles program so you should send it to the home you will be completing the program in most frequently.

How long do you estimate it will take you to complete the program?(Required)

*It is recommended that you complete this program within 14 weeks, pacing one section every other week. We understand that every couple is different–some may complete the program faster and some may need more time. This will help you stay at pace and we can encourage you along the way, as well.

In a few brief sentences, tell us what appealed to you about this program and what you and your partner hope to gain by participating?(Required)

How did you hear about Seven Circles?

Describe how you found us or who recommended you(Required)

Terms and Conditions(Required)

I have read and agree to the Terms and Conditions

We are pleased to be offering this program for free. All participants are expected to complete the program as stated above and participate in a few surveys. Your feedback is critical as we continue to expand and adjust this program so we thank you in advance. By signing up for Seven Circles you are agreeing to….

Complete the program as stated above to the best of my ability.

Receive and complete surveys, questions, and additional content via text and email in a timely manner.

Be contacted by SHALVA intermittently if there is a delay in my completion of the program.

Initiate contact with SHALVA as soon as possible if something occurs to prevent me from completing the program as scheduled.

I understand that all information I provide to SHALVA will be treated confidentially (or acknowledge that SHALVA will let me know if any of my information or feedback will be used for marketing or training purposes.)

I understand that participation in this program could trigger strong feelings, emotions or sensations and/or result in new reflections on my relationship with my partner.

I understand that this is not a therapeutic program and that it is my responsibility to seek additional resources fromSHALVA and/or other outside sources to address any strong feelings or reflections that might arise as a result of this program.

I understand that participation in this program does not constitute a client/therapist relationship. Information provided while may be helpful is not provided by a medical practitioner. I agree and acknowledge that SHALVA is not providing medical or mental health advice in any way.

I agree to hold SHALVA, its officers, employees, the program administrators, staff, directors, or anyone otherwise affiliated with SHALVA, harmless and indemnify and release them from any and all causes of allegations, suits, claims, damages, actions, or demands whatsoever, in law or equity, that may arise in any way from participating in this program.