GA NAWGJ Clinic Registration
Registration form for VIRTUAL clinic on Sunday, June 28th via ZOOM. Space is limited and registration will be honored on a first-come, first serve basis.

Payment must be made to Kim Joye via Venmo or Paypal ($25 for non GA NAWGJ members). Meeting code will be shared via calendar invitation when payment is received.
Venmo - @Kim-Joye-1
Paypal - PayPal.Me/KimJoye
Email address *
First Name *
Your answer
Last Name *
Your answer
Telephone *
Your answer
Current Rating *
I understand that I must be online and actively participate to receive CPE credit. *
Payment Information $25/person. FREE for GA NAWGJ Members. *
A copy of your responses will be emailed to the address you provided.
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