Life After Trauma Event Registration Form

Life After Trauma Workshops

Online Event Registration
Dates

Thursday Evenings

March 14 * March 28 * April 11, 2019

Time

5 to 6pm

Address

1361 Hawthorne Ave. Chico, Ca 95926
Full Name*

First NameLast Name
E-mail*
Names of other adults who will be attending with me.
Child care complete with art projects and activities will be provided for children during the event. Families must be present on site at the workshop while their children are in the child care room.
Number of Children attending:*
Dates we plan to attend:*

March 14March 28April 11
We were affected by the Camp Fire and would like the $25 gift card.

yesno
Note: $25 Gift cards are given to the first 50 adults who RSVP on this form, attend at least 2 of the 3 workshops and provide FEMA identification.

GIFT CARDS may already be taken. We currently have over 50 registered for the event but some may not attend so please click yes and know you may or may not received the gift card.

No identification needed to attend. All are welcome. ID needed to receive gift cards.
Notes:
Should be Empty:

Life After Trauma Workshops