Open House Registration
Open House Registration Form
Event Address: Dependent on the Date
Light refreshments will be provided.
Contact
aherrington@thepregnancynetwork.org
with questions.
* Required
Email address
*
Your email
Full Name
*
Your answer
Phone Number
*
Your answer
Gender
*
Male
Female
What date will you attend the Open House? (1-1.5 hrs long)
*
Monday, March 1st 5:30p : 625 Fulton St. Greensboro, NC 27401
Monday, March 15th 5:30p : 811 W 5th St. Winston-Salem, NC 27101
Tuesday, March 23rd 12:00p : Zoom Call
Other:
How did you hear about us?
*
Your answer
I am attending the open house to
*
Learn more about The Pregnancy Network
Explore becoming a volunteer partner
Explore becoming a financial partner
Other:
Location of Interest:
*
Greensboro
Winston-Salem
Both
Are you a current practicing medical professional? If so, in what field?
*
Your answer
We look forward to seeing you at our Open House!
Thanks for taking time to register.
A copy of your responses will be emailed to the address you provided.
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