Strolls for Well-Being Fall 2018 (Group 5)
Timing: September 8th from 10:30am - 12:00pm and November 3rd - from 11:30am-1:00pm
Address: Bloedel Reserve, 7571 NE Dolphin Drive, Bainbridge Island, WA 98110
Meeting Facility: Japanese Guest House at Bloedel Reserve
Contact: Laura Counsel, Special Programs Manager, (206) 842-7631 x.11 or lcounsel@bloedelreserve.org
Email address *
Name (first and last) *
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Address (street) *
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Address (city, state, zip) *
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Phone (include area code) *
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Confirm your attendance at both meetings *
Required
Confirm you are a first-time Strolls participant - repeat participation is not available at this time. *
I understand that I am participating in a seasonal program including two facilitated meetings. *
Required
I understand that the Strolls for Well-Being program is offered at no cost to participants. *
Required
I understand that by submitting this application I am occupying one space, of limited availability, and I commit to participation in the program. *
Required
I understand that as a Strolls participant I will receive a workbook and 6-month Bloedel Strolls membership. *
Required
Are you a current Bloedel Reserve member (not required)? *
Are you currently or have you ever served in the armed forces? *
Are you a spouse or dependent of someone serving in the armed forces? *
Have you or are you currently navigating the journey through cancer, supporting someone through treatment, or grieving the loss of a loved one due to cancer? *
How did you hear about the Strolls program? *
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Do you have mobility concerns you'd like to discuss prior to the first meeting?
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Do you have other accessibility questions or concerns?
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Is there anything you'd like to share with the facilitators prior to the first meeting (your reasons for participation, needs you may have, etc.)?
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