GATHER & b.well Free Welcome Session Registration Form

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Join us Friday, September 20th at 10am EST for an introduction to our wellness circle for Black women teachers. Limited spots available.

drSarahb

iamdrSarahb@gmail.com

858.523.8215

Email *

Name *

Contact Number

Email *

City/State *

School District

How many years have you been in education?

1-3 years

4-10 years

11-20 years

20+ years

What draws you to GATHER & b.well?
*

Are you interested in scholarship consideration?

Yes, I'd like to be considered for one of the 5 scholarships

No, I can pay the program fee

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How did you hear about b.well?

Social media

Word of mouth

Other:

Any additional information you would like to share.

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