Healing through the Holidays Workshop Sign-Up

Cedar Counseling and Wellness

Event Timing: December 5th, 12th and 19th from 9:00-10:30
Event Address: 1997 Annapolis Exchange Parkway Suite 180 Annapolis, MD 21401
Contact us at: (410) 443-3390 or caroline.eglseder@cedarcounselingandwellness.com

**Please note that in person participation is limited to eight participants and total participation is limited to twelve participants. We will be sending an email to each registrant after this survey is complete with consent and payment forms. These forms must be completed in full to reserve your spot. We look forward to working with you!

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* 1. Name

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* 2. Email Address

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* 3. Age Range

26-35

35-40

40 +

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* 4. Gender Identity

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* 5. Dietary Restrictions:

None

Vegetarian

Vegan

Kosher

Gluten Free

Other (please specify)

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* 6. I will attend:

Saturday, December 5th, 2020

Saturday, December 12th, 2020

Saturday, December 19, 2020

All

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* 7. I understand that I am required to pay $25 per session, or $60 for all three sessions.

Yes

No

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* 8. I will join the workshop via:

Zoom

In Person

Healing through the Holidays Workshop Sign-Up

Cedar Counseling and Wellness

Question Title

* 1. Name

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* 2. Email Address

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* 3. Age Range

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* 4. Gender Identity

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* 5. Dietary Restrictions:

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* 6. I will attend:

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* 7. I understand that I am required to pay $25 per session, or $60 for all three sessions.

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* 8. I will join the workshop via:

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* 9. Please do not hesitate to let us know (below) if you have any questions. We look forward to meeting you!