Workshop Registration

Thank you for your interest in this event/program. Please complete and submit the form below.

Timeslot:

Thursday 1st Dec 2022, 5:00pm - 8:00pm

Location:

FHT Office

Availability:

12 spaces remaining

Name:

Email:

Confirm email:

Phone Number:

Your provider:

Important:

You have to agree to this.
Do you agree to the above statement(s)? Yes

Note: You do not need to be a Summerville patient to attend.