Interest Form

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Complete this simple form to let us know you're interested in EITHER attending the two-day training on Sundays, October 15 & 22, 2023 OR a two-day training or one-day leader refresher course on a different date.

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*Name: *

Street Address

*City, State, Zip Code *

E-mail address: *

*Confirm E-mail address *

*Cell Phone # *

Other Phone #

Are you interested in the next 2-day training on Sundays, October 15 & 22? If not, what dates are you available to attend a 2-day training or 1-day leader refresher course?? *

*How many laughter classes have you been to and where/when? *

*Why do you want to take the certified training or refresher course? *

*What do you plan to do as a certified leader, if anything? *

Comments/Questions:

CLICK ON THE "Send Form" BUTTON BELOW. THEN, SCROLL UP FOR CONFIRMATION THAT YOUR FORM WAS SENT OR TO SEE IF THERE ARE ANY ERRORS

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