NEAMA Registration Form - Processing Loss - When Our Heroes Are Human

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NEAMA Registration Form - Processing Loss - When Our Heroes Are Human - (Ages 11-18)

This is a TWO Step Registration Process.

1) Submit this form

2) You will receive a link to register through zoom

‘Processing Loss - When Our Heroes Are Human’ - for youth ages 11-18 (parents/guardians/educators are encouraged to attend to support their child/student)

Date: Friday, December 30th, 2022
Time: 3:30pm-5:30pm EST, 12:30pm-2:30pm PST
Signed Consent Form by Parent/Guardian is required.
Dance will be incorporated. Please prepare accordingly.

DEADLINE FOR REGISTRATION: THURSDAY, DECEMBER 29TH 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

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