Registration form / Breathe to Heal

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Our next free 6-week online program will start on Tue 1/2/24 - meeting every Tuesday 9-10:15am PT for 6 weeks.

The purpose of this program is to help you reconnect with the healing & regulating power of your breath - with theory and practice.

Click link below at the time of the event:
https://us02web.zoom.us/j/82138821481?pwd=d2ltYUo5ZHZQNFY5S2UzMTlXMVNrZz09

Meeting ID: 821 3882 1481
Passcode: 612258

If you have any questions, feel free to reach out: pevannier@gmail.com

Happy new year & see you in 2024! .

Pierre-Etienne

Starting date of the program or session *

YYYY

First & last name *

Email *

Date of Birth *

YYYY

Phone number *

Emergency contact name *

Emergency contact phone number *

How did you hear about this program? *

Do you consent to HH using screenshots of the online class (participants names will be blurred) to promote the class with other people dealing with cancer? *

Yes

Do you consent to HH using your testimonials (using your first name only) to promote the class with other people dealing with cancer? *

Yes

Please select: *

I am a current cancer patient at HMH

I am a former cancer patient at HMH

I am a current cancer patient at another hospital

I am a former cancer patient at another hospital

I am a caregiver for a loved one dealing with cancer

I am a healthcare professional supporting people dealing with cancer

Other

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