NEAMA Registration Form - "Breathing Through Grieving" (18+)

This is a TWO Step Registration Process.

1) Submit this form

2) You will receive a link to register through zoom

'Breathing Through Grieving' - for 18 years of age and older

  • Date: Wednesday, January 11th, 2023

  • Time: 1:00pm-3:00pm EST, 10:00am-12:00pm (noon) PST

  • Signed consent form is required.

  • Dance will be incorporated. Please prepare accordingly.

  • Please read the community letters on NEAMAcares.org press and media page. https://neamacares.org/press-media/


DEADLINE FOR REGISTRATION: Tuesday, January 10th at 5:00pm PST/ 8:00pm EST
 
If you have any questions, queries or concerns, please email  Dr.T@neamacares.org and/or Kimberlee@neamacares.org

Please fill out all required fields.
ALL INFORMATION WILL BE KEPT PRIVATE AND CONFIDENTIAL
Prijavite se na Google da biste spremili svoj napredak. Saznajte više
E-pošta *
Dalje
Izbriši obrazac
Nikada ne šaljite zaporke putem Google obrazaca.
Ovaj obrazac izrađen je unutar domene NEAMA. Prijava zloupotrebe