Event Registration Form

Emotional Wellness Discussion

w/ Dr. James Pinkney III, LPC,ACS,PSYC, (LTC USA, Ret.)
New Hope Baptist Church
Saturday, January 20, 2024
10:00am-12:00pm

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address (optional)

Question Title

* 4. Phone Number (optional)

Question Title

* 5. How did you hear about this event?

Church Announcement

Church Email

Church Website

Other Website

Friend

Other