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Register for the SPRING Family Event - Hosted by Family Chiropractic of Springfield on Saturday, May 11th from 10am-3pm
SEE ATTACHED FLYER WITH DETAILS ABOUT THE EVENT
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Email
*
Record my email address with my response
Full Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Are you a current patient of Family Chiropractic of Springfield?
*
Yes
No
If not, are you interested in finding out about your medical insurance coverage for Chiropractic care?
Yes
No
Maybe
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Are you planning to attend this event?
*
Yes
No
Maybe
If you responded "yes", do you plan to bring family member(s) or friend(s)?
Yes, myself and 1 additional person
Yes, myself and 2 additional people
Yes, myself and 3 or more additional people
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Please check the free service(s) you would like to experience at this event.
*
Cold Laser (Class 4)
Cupping session
Roller Table session
Massage gun session
Nutrition Discovery Session
Dry Needling Session
Chiropractic Assessment
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