* 1. Please provide your contact information if you'd like to be contacted if a group you've indicated you're interested in is scheduled.

* 2. Are you looking for a one-time workshop, multi-session group, either or both?

* 3. Which of the following groups would you attend should they be scheduled in the near future?

* 4. When are you free to attend groups or workshop?

Available on Mondays starting
:
Available on Mondays until
:
Available on Tuesdays starting
:
Available on Tuesdays until
:
Available on Wednesdays starting
:
Available on Wednesdays until
:
Available on Thursdays starting
:
Available on Thursdays until
:
Available on Fridays starting
:
Available on Fridays until
:
Available on Saturdays starting
:
Available on Saturdays until
:
Available on Sundays starting
:
Available on Sundays until
:

* 5. Please include any additional information here.

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