Virtual 2nd Annual Women's Relaxation Retreat
    Saturday, October 3, 2020, 9:30 am to 1:30 pm, CST
    SCHOLARSHIP REQUEST FORM
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    Please provide the following information:
    First and Last Name
    Email address
    In the Comment Section:
    Age category: (1) 18-64 or (2) 65+ years of age
    Reason for Request
    Referral Name and Contact Information
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    ​Connect with us by completing and sending the form below.
    Text me: (210) 215-8305  Email me: cheartsong22@yahoo.com
    Retreat Registration Closes Saturday morning, October 3, 2020, @  9 am, CST.
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    ​Sincere thanks to the Scholarship Sponsors:
    Alamo Area Council of Governments (AACOG) and WellMed Charitable Foundation
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