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THE SUNDAY NIGHT BREAKING CLASS SIGN UP:
Start Date: Feb 8th
End Date: May 17th
No Class Dates: March 22nd (Trivia Night), April 5th (Easter), May 10th (Mother's Day)
6:30-8:30pm Sunday Nights
First Name
Last Name
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Female
I'd rather not say
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I'd rather not say
Phone Number
Email
Do you want a mentor to keep you accountable for the 12 weeks?
Yes
No
Not Sure
If applicable, are you open to further help and treatment if needed?
Yes
No
Will you need childcare? (small fee of $5 for the first kid, $1 for each kid after, to compensate the teen volunteers).
Yes
No
Number of Kids?
Any special needs or allergies for children?
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MENTOR TRAINING SIGN-UP
Reason: Requirement for those wanting to help mentor individuals during The Sunday Night Breaking, 12 Week Class
We will learn the "Do's and Don't's" of walking alongside someone with a serious stronghold/addiction. Topics include "Setting Boundaries," "Enabling vs Helping," and "Behaviors to Look Out For," with a time of Q and A.
Date: January 21st, 6:30pm
First Name
Last Name
Phone Number
Email
Are you willing to commit to walking alongside one person during the twelve week class?
Yes
No
I'll decide after the class
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