Rooted in Strength: Muslim Women's Journey to Healthier Relationships Registration Form
Participant Information:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Consent and Signature
*
By registering for this course, I acknowledge and agree to the following: I commit to being present, attending, and actively participating in all sessions. I will maintain respect for all participants and uphold the course's commitment to adhering to Islamic values. I am aware that this is not a therapy session but educational group. I understand that once payment has been made, no refunds will be issued. An invoice will be sent to you and payment will be collected via e- transfer. I consent to these terms and agree to participate in the course accordingly.
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