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JulieWellness Event Request Form
1.
I am interested in the following event.
Crucial Conversations Training
The Mindfulness Series
Mindfulness Out & About
Philosophical Group Discussion
Other
Comment
2.
I am interested in arranging an event for a group.
Yes
No
Please provide details.
*
3.
Contact Information
(Required.)
First Name, Last Name
Email
Phone
4.
My general availability is as follows:
5.
What topics would you most like to learn about or discuss at this event?
6.
Comments or Questions?