Express Yourself: Group Questionnaire
Five Week Women's Wellness Music Series Starting March 8, 2024, 5-6PM 
Blackman Music Building (210B) at Converse University 
Our first meeting (March 8) is offered for no fee, but please complete this form to reserve your spot! Space is limited to ten participants. To register for the series ($77), contact the Lawson Academy office: (864) 596-9022 or janae.oshields@converse.edu before March 13. 
For any questions, contact Alison Hughey, MT-BC at (864) 680-6985 or director@carolinamusictherapy.com
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Email *
Name *
Email *
Phone Number *
What are a few songs, artists or types of music you enjoy? *
What are you interested in getting from this series?  *
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If you have any environmental allergies, please list them below:  *
To finalize your registration for this series, contact the Lawson Academy office at 596-9022. Be sure to do this before March 13
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A copy of your responses will be emailed to the address you provided.
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