Self Reliance Group Registration Form
The following is a registration form for the self reliance groups within the Cleveland Stake.

Groups generally run for 12 weeks, but can be shorter depending on the needs of participants. Session times will be arranged with the participants prior to the group starting.

Complete the form below and we will contact you to organise start dates, times etc and finalise your participation.
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Which course(s) would you like to register for? *
Name *
Email Address? *
Phone Number *
Which Ward do you attend? *
How would you prefer to participate? *
Preferred Group Meeting Times (Tick all that apply)
Preferred Group Meeting Frequency (Tick all that Apply)?
Your current age group? *
Any Comments/ Other Details?
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