203 Little Canada Rd. E #200

Little Canada, MN 55117

651-484-5510

651-483-3879 fax

501c3

Donations are appreciated

Discovery of Self

Registration form for full-day training on

Tuesday, June 20, 2023 from 8:30 am – 4:30 pm

Behavioral Institute for Children and Adolescents – Goldstein Memorial Library

Little Canada, MN

Registration Form

First Name

Last Name

Email

Phone

Organization/Company

Address

Address 2

City

State

Zip Code

Workshop Date

Tuesday, June 20, 2023

$95 Registration Fee - payment selection

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