TALK Line Group Enrollment
Please fill out this form completely to enroll yourself into a TALK Line group. Please expect a follow-up phone call or email from the group leader for confirmation.
First Name
Your answer
Last Name
Your answer
Would you like to sign up for a monthly newsletter to keep up-to-date with Center activity and group/event offerings?
Phone #
Your answer
Your answer
What is your preferred contact method?
Have you visited the Center before (1757 Waller Street)?
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