Brown Mama Cafe' Support Group Registration
Hey Mama, looking forward to seeing you at the Brown Mama Cafe'. All sessions will be held at Dollar Bank 20 Stanwix Street, Pgh, Pa 15222. REGISTRATION MUST BE SUBMITTED 7 DAYS BEFORE THE UPCOMING SESSION. Complete this form in its entirety. These are drop-in sessions. Come to one session or all. Thanks!
Here are the dates:
Sat. July 16th 10am-12pm (Registration Closed for this date); Sat. Aug 20th 10am-12pm; Sat. Oct 15th 10am-12pm
What is your Facebook name? If none, type "N/A". We will use this for session reminder purposes
Cell Phone Number
Please enter a valid phone number.
Street Address Line 2
State / Province
Postal / Zip Code
What is your best form of communication?
Providing this information, helps us to know our audience in order to inform programming. Thanks!
Less than 30k
Highest Level of Education
High school or equivalent
Technical or occupational certificate
Some college coursework completed
Just a few more things...
Brown Mama Cafe' is a safe space to be heard. Select the topics you're most interested... select up to 4 only.
Selfcare/Health & Wellness
Shifting Mindset (ie. more confidence, courage, positive self talk)
Life Goal Attainment
Relationships (friend, family, children, significant others)
Breakfast/lunch will be provided. Please list all your dietary restrictions. If none, type NA.
Which session(s) will you attend? Select all that apply. (These are drop-in sessions, come to one or all.)
Sat. Aug 20th 10am-12pm
Sat. Oct 15th 10am-12pm
After submitting this form, you will be directed to the "thank you" page where you can register for childcare. Request MUST be made 7-10 days prior to event/session.
Should be Empty: