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In-Person Group Registration Form: SOAR 2025
Please complete this form to register for SASHA's Center Group at Payne-Pulliam.
Group Name:
SOAR
Date:
Weekly on Wednesday (
Jan through Nov )
Time:
1:00 pm
Location:
Payne-Pulliam School of Trade and Commerce ·
18017 E Warren Ave, Detroit, MI 48224
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Email
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Your email
What is the date of the group that you will be attending?
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DD
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YYYY
First Name
*
Your answer
Last Name
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Your answer
Contact Phone Number
*
Your answer
Mailing Address (Number Street, City, State, Zip Code
*
Your answer
Is this you first time attending a SASHA Center group?
*
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No
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Do you identify as a Black woman?
*
Yes
No
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Other:
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How did you hear about this group?
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Other:
A copy of your responses will be emailed to the address you provided.
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