March 2021 Partner Up Class

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Please fill out this survey in order to pre-register for this year long program. You will receive an email with additional information and an intake packet shortly.

电子邮件地址 *

Where did you hear about this program?

Medical Provider

Postcard received in the mail

Southern Maryland Newspaper

Mobile ad

Facebook

Coffee Edition Email

其他:

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Which version of the class are you interested in? *

Partner Up (I have a partner that will participate with me and is committed to attending classes)

I'm solo and want to be added to the contact list for future in-person classes.

I'm solo and want to be added to the contact list for future online classes.

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