Mindfulness Enhanced Strengthening Families Program - Spring 2020
Please provide the following information to assist us with planning for these family sessions & meals
Email address *
Parent/Caregiver Names *
Your answer
Mailing Address: *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Names and Ages of Youth participating (between age 10-14): *
Your answer
Names and Ages of children who will use childcare during the sessions (under age 10): *
Your answer
Please share any dietary restrictions or food allergies: *
Your answer
Anything else you would like us to know about your family or your decision to attend these sessions:
Your answer
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