"*" indicates required fields NameThis field is for validation purposes and should be left unchanged.ACTION PLAN CLUBThis virtual program runs every Wednesday afternoon from 1:30PM to 2:30PM on Zoom.Name* First Last CityPhone*Email* What is your preferred language? English French If your preferred language is not English or French which of Canada’s official languages are you most comfortable using? How did you hear about this workshop?EmailNewspaper AdPosterRadioReferral from a Friend/Family MemberReferral from a Healthcare ProfessionalSocial MediaTelevisionThis WebsiteOtherNewsletter Signup I would like to be added to the newsletter contact list.This field is hidden when viewing the formSubmission Date MM slash DD slash YYYY Interested in becoming a facilitator? Get Involved
