We would like to know your interests and needs to promote the health and well being of you, your family and our community.

1) Please check any of the below seminars that you are interested in:(required)

Seminar for prevention and treatment for hypertension, arthritis, diabetes, cancer, etcHealthy Cooking ClassHappy MarriageChild Education (Preventing/Solving TV Addiction)Stress Prevention & ManagementBible ProphecyStop SmokingTime ManagementSpiritual CounselingComputer LearningEnglish as a Second-Language ProgramFinancial Management/Credit CounselingHome Ownership SeminarsCareer Counseling (interviewing/resume preparation)

2) Please enter any other seminar not listed above that you would be interested in:(optional)

3) If you would like to receive information about the seminars, please enter information below: (optional)

Your Address:

Your Phone number:

4) Religious Affiliation (optional)

NoneProtestantCatholicBuddhismIslamicHinduismOther

Your Name (required)

Your Email (required)