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Belleville GRIN Training (GRoup & INdividual Crisis Intervention)
Registration for Belleville, KS GRIN Training October 28th-30th (Thurs.-Sat.) @ 2405 F Street Belleville, KS 66935
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Email *
First and Last Name *
Preferred Email Address (Primary source of communication for class, be sure to check**) *
Cell Phone Number *
Occupation *
Place of Employment
Have you paid Registration Fee of $50? *
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