Sponsored by The Transformation Center

(BUR) Summer Forum - We are registering up to 60 participants for this year's event.  After #60 all who register will be added to a waiting list for this event. 

First Name

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* 1. First Name

Last Name

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* 2. Last Name

Street Address

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* 3. Street Address

Town

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* 4. Town

Organization (if any)

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* 5. Organization (if any)

Email

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* 6. Email

Phone
If you do not share email please do include phone in case we need to contact you about event.

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* 7. Phone
If you do not share email please do include phone in case we need to contact you about event.

Do you identify as:

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* 8. Do you identify as:

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

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

Are you interested in learning more about mental health and the peer movement?  (please tell us more about how you would like to be involved in this topic).

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* 10. Are you interested in learning more about mental health and the peer movement?  (please tell us more about how you would like to be involved in this topic).

Please add any questions, concerns or needs you have related to attending the event.

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* 11. Please add any questions, concerns or needs you have related to attending the event.

Thank you, we look forward to seeing you!
If you have questions, please call Valeria at 617-442-4111 x322 or email valeriac@transformation-center.org.

Light breakfast and lunch will be provided
Light Breakfast 9:00 a.m. - 10:00. a.m.
The Gathering will start at 10:00 a.m. and go until 5:00  p.m.

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