Recovery Workshop Group Registration Form
☆Together We Can☆
Name
*
First Name
Last Name
Name of organization or civic group this is for
*
Address
*
The Address of where the workshop will be held for your group
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Select courses you want to enroll on
*
Please Select
Reboot 6 First Responders
Reboot 6 Veteran
Civilian Crisis Edition
Reboot Recovery 12 week course
Overcome Academy Basic Trauma and Suicide Prevention Training
How many individuals will be attending the workshop?
What is your preferred date(s) for the workshops?
You understand that this is a peer guided and faith based alternative workshop meant to help trauma victims reframe their pain to begin healing and is in no way licensed therapy
Write "yes" if you understand
Additional Comments
Is there anything else you wish us to know?
Submit Form
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