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Feel, Deal and Heal Registration Form
Use this form to indicate your interest in the Feel, Deal and Heal curriculum.
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Phone
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Your answer
What county do you live in?
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Your answer
This curriculum has several meeting dates in the upcoming weeks. Please indicate your interest below or let us know if you'd like additional information.
June 2, 2021 at 12pm ET
June 9, 2021 at 12pm ET
June 16, 2021 at 12pm ET
June 23, 2021 at 12pm ET
I have previously partnered with WellSurgent to offer this class series to those in my community and would like to do so again.
I have previously attended as a participant and would like to know about upcoming sessions/training.
I'm interested in partnering with WellSurgent to offer this class series to those in my community.
I am interested in attending as a participant and would like to know about upcoming sessions/trainings.
Other:
Is there any additional information you would like to provide at this time?
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