Root to Rise Registration
Event Timing: Saturday, March 18, 2023 9 am to 3 pm
Event Address: 4817 State Route 202, Tipp City, OH
Contact us at (937) 555-5555 or hagancounselingservices@gmail.com
Email *
Name *
Phone # *
Dietary restrictions *
I understand that this is not a substitute for therapy. I am willing to sign a confidentiality form that says I will not share any information that another participant shares at this event.  *
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