January Virtual Children's Program (1/11/25) Saturday, January 11th - Sunday, January 12th (01/11/2025) 9:00 AM PST - 12:00 PM PST

Complete these questions to add an attendee to the Event. The attendee fees will be shown in the shopping cart during checkout.

First Name

Last Name

Age Range

Under 18 18-24 years old 25-34 years old 35-44 years old 45-54 years old Over 54 Please enter an optional age range.

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Referral from a professional Referral from Hazelden Staff Referral from Friend/Family/Acquaintance Email Social Media Website Community Event Media Together App Other

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