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Practicing Collective Care
Registration Form
for Full & Partial Scholarship Recipients
*
First name
*
Last name
*
Email
*
Phone
How did you hear about this offering?
Do you have any accommodations / accessibility needs you want to make us aware of?
Please select all of the dates you plan to attend:
Oct. 15th
Oct. 22nd
Oct. 28th
If you are are paying a partial amount for any of the sessions, please enter this amount below.
$0
Register
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