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A Self Care Workshop for Female College Students
Please fill out the form below prior to arrival. 

College ID is required to enter. You must be 18 years or older to attend.
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Email *
You're one step closer to our free creative journaling event 
on Wednesday, May 22nd at 7pm!

First Name *
Last Name *
Phone Number *
Are you currently enrolled in college? *
Are you between the age of 18-30? *
Are you interested in applying to our 9-Week Therapy program to receive mental health care?  *
Do you have access to mental health care? (this supports the question above) *
By writing your full name below you have answered the questions above honestly and understand that all information provided is confidential.  *
Liability Release & Photo Release

By checking this box, I, the undersigned, release all liability from Beyond Grey, Inc. for any potential injury  I may incur.

By checking the box below, I, the undersigned, give permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
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See you soon at our dreamy venue in Wynwood Miami! 
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