3rd Annual Peace of Mind Conference: Family Wellness Virtual Event To Promote Stigma Reduction
Date: Sunday, September 27, 2020 and Sunday, October 04, 2020
Time: 10:00 AM - 12:00 PM PST
Thank you for registering. We look forward to having you join us!
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1.
Full name (First and Last)
(Required.)
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2.
Email Address
(Required.)
3.
Address
*
4.
City
(Required.)
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5.
County
(Required.)
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6.
Zipcode
(Required.)
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7.
Phone
(Required.)
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8.
Ethnicity
(Required.)
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9.
What language (s) do you speak other than English?
(Required.)
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10.
Gender
(Required.)
11.
Are you attending as a youth? (Youth is considered age 13 - 17 years)
Yes
No
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12.
Please select the dates you will attend the conference
(Required.)
Sunday, September 27, 2020
Sunday, October 04, 2020
Both dates
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13.
How many members of your household will attend the event? Please add their names.
(Required.)
