Please complete the following registration as thoroughly as possible as it helps us determine goodness of fit and ensures we are meeting the needs of those who join our Specialty Modules. We need everyone regardless of current 3LPlace status to complete this registration form. Some sections (as indicated) may be skipped by current members.

Format:
Please note: programs will be virtual at this time, via ZOOM.

Healthy Relationships Experiential:

-Prerequisite is attendance in our Healthy Relationships/All Relationships Module.
-Dates: Monday April 12th through Monday May 3rd.
-Times: Mondays from 3-4pm
-Cost: $200 flat rate for the 4 sessions
-Deadline for Registration: March 29th

Questions regarding registration?
Please email Katie Wilson. KWilson@3LPlace.org or call her at 617-909-9515.

*Form is best completed on a Laptop/Desktop and not a mobile device. You will receive a copy of this form upon completion.