Partner Drinks at Casa De Mi Alma

1

Can You Attend?* This field is required.

Yes, looking forward to it!

Sorry, can't make it.

2

Name* This field is required.

First Name

Last Name

3

E-mail

Your contact information will be used solely for the purpose of this event and will not be shared.

4

Phone Number

5

Will you be bringing a guest?

Yes

No

6

Guest's Name

Guest First Name

Guest Last Name

7

I am a ...

Community member interested in learning more about Open Wings

Caseworker/Social Worker seeking a resource for clients

Partner/ Local Organization interested in learning more about local resources

A friend of Casa Lucerito or Casa De Mi Alma

Staff / Volunteer member

Potential Partner

Community member referred to the event by a friend, case worker, clinician, or other

Attendee of a free workshop and wanted to learn more about what Casa De Mi Alma has to offer

8

Comments and questions