Northampton Community Event RSVP

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We invite you to join us at an event to celebrate Stroke Across America, as we connect & learn about stroke, aphasia and brain injury. Please RSVP below so that we know how many guests to expect at the event.

Wednesday, August 24th from 4:30-6:00pm ET
Event Address: Northampton Center for the Arts at 33 Hawley, 33 Hawley St., Northampton, MA 01060
Questions? Contact us at jacquie@umass.edu.

Email *

First name *

Last name *

Mobile number

How many will be attending? *

How did you hear about our event?

How are you affiliated with the stroke survivor community? *

Carepartner / Caregiver

Friend of survivor

Friend/Supporter of Stroke Onward

Healthcare Educator

Healthcare Provider

Stroke Survivor

Survivor of other trauma / person with disabilities

Other:

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Would you like to be signed up for Stroke Onward's periodic enewsletter (about one email a month)?

Yes

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A copy of your responses will be emailed to the address you provided.

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