Registration-"Lunchtime Live with Tamera"

Welcome! We're glad you're here. In order to best support your unique healing journey, please fill out the form below.

Friday, March 20th @ 12 pm (PST)- "Lunchtime Live with Tamera: Coping with Fear in an Uncertain World"

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* 1. Your contact info:

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. You will need access to a computer and internet to participate in this event. Do you have access?

I understand that I need access to participate in this event

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* 3. This group requires online video interaction. If you want to protect your privacy, you may want to select an anonymous username for the Zoom (video conference platform). Will you be using your name or an anonymous title for your username on Zoom?

I will be using my name as my username

I will be using a username that is not my name