Thank you for registering — we look forward to seeing you!

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. City/Town

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* 6. How did you hear of this workshop?

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* 7. Is this your first time registering for a workshop through Self-Help Connection?

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* 8. If you have taken other workshops through SHC, which are they?

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* 9. What are you hoping to learn this workshop?

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* 10. How important is this opportunity to support your health?

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* 11. Is this workshop more accessible to you because there is no charge?

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* 12. Do you currently reside inside Nova Scotia?

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* 13. Are you 19 years of age or older?

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* 14. I have read and agree to the Privacy Policy and Terms of Use.

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