Rare Care Peer Support Training Interest Form

Rare Care 
Peer Support Training Series Interest Form 
     The Rare Care peer support model is designed and intended to serve parents/guardians who care for/have cared for a child with a rare disease(s). 
     Our goal is to train rare disease caregivers, who can offer their experience and support, in a safe training environment with fellow rare disease caregivers. In order to achieve this goal registration is limited to this specific population at this time. 
     If you are part of an organization that is interested in training or capacity building in peer support or other mental health and wellness topics, please email schapman@giveanhour.org
Thank you for your interest in participating in the Rare Care Peer Support Training Program. 
First name
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Last name
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Email
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Phone number
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City, State
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Which cohort session would you like to attend?
Cohort #1 Tuesdays, 8/9/22-9/13/22 6:00-8:00 pm (PST)
Cohort #2 Tuesdays, 10/4/22-11/8/22 6:00-8:00 pm (PST) (Time is tentative-based on time zone registration)
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Do you provide direct care for a person with a rare disease? 
Yes
No
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Submit