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WAIT LIST sign up only

The Transformation Center's
Community Voice Gathering in Bedford

Refreshments/Social Time 9:30-10:00 Gathering 10:00-2:45

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* 1. First Name:

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* 2. Last Name:

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* 3. Address:

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* 4. Email:

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* 5. Phone:

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* 6. Gathering(s) you are registering for:

Wait List- Bedford Free Public Library 7 Mudge Way Bedford, MA

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* 7. How would you describe yourself (can check more than one)?

Peer Worker

Peer Volunteer

Certified Peer Specialist

Recovery Coach

Clinical or Rehab Provider

MA State Employee

Supervisor

Administrator

Researcher

Funder or Policy-maker

Advocate, Friend, Family

Other community member

Details? (youth mentor, substance use advocate,etc....)

Thank you, we look forward to seeing you on December 7th!
If you have questions, please call the Transformation Center at (617) 442-4111 or email info@transformation-center.org.

Lunch provided
Refreshments provided from 9:30-10:00 AM. The Gathering will start at 10:00 AM and go until 3:00 PM