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Virtual Compassionate Care Support Group Registration
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Name
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Phone Number
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Email
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School
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What group will you attend? (Choose One)
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Tuesdays - 5:30-7:00pm - February 7 - April 11, 2023 (skipping 3/13-19 & 4/3-9)
Wednesdays - 6:00-7:30pm - February 8- April 12, 2023 (skipping 3/13-19 & 4/3-9)
Sundays, 7:00-8:30pm - February 12 - April 16, 2023 (skipping 3/13-19 & 4/3-9)
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Group Confidentiality Agreement
I have Read the above agreement.
I have read the group confidentiality agreement and by signing my name below I am agreeing to all of its terms and conditions.
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