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First Name *

Last Name *

Email Address *

Phone *

Organization

Location of Event *

Date Range for Event

Event Start Time

Event End Time

Number of Practitioners

Scheduling * Participants are treated on on a first come, first served basisWe will use a paper sign up sheetParticipants are scheduled on our On-line Scheduling System.Undecided

Brief Description of Event *

How long for each session * (5) 10 Minute sessions in 1 hour per therapist(3) 15 Minute sessions in 1 hour per therapist(2) 25 minute sessions in 1 hour per therapistUndecided

Questions/ Comments

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