Please enable JavaScript in your browser to complete this form.
Virtual Women: Thriving in the Challenge
Please complete the form in full. Fields marked with a
* red asterisk
are required. When you are finished, click the
REGISTER
button at bottom. You will be taken to the payment page.
Please enable JavaScript in your browser to complete this form.
Linda Carroll-Barraud
MS, LMFT, BCC
Thriving in the Challenge
September 22 - December 1, 2020
Name
*
First
Last
Address
*
Address Line 1
City
Select ↓
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
Registration Fee
*
Fee:
$600.00
/person
Total Amount
$0.00
When you click
REGISTER
, below, you will be taken to PayPal to complete the transaction.
How did you hear about this class?
Comment or Message
Click
REGISTER
below.
Please be patient as we connect you to PayPal.
Website
REGISTER
