Name: LOCATION CHANGE: Duluth Adult Meet & Greet – Caribou Coffee
Start: 2022-06-15T18:00:00-05:00
End: 2022-06-15T19:30:00-05:00
Location: Caribou Coffee

First Name

Last Name

Email

Phone

Street Address

City

State

Zip Code

5-Digit Zip Code Calculation

Birthdate:

What is your relationship to epilepsy?

I have epilepsy/seizuresMy child has epilepsy/seizuresMy parent has epilepsy/seizuresMy spouse or partner has epilepsy/seizuresI lost someone who had epilepsy/seizuresAnother family member has epilepsy/seizuresA friend/co-worker has epilepsy/seizuresI work with people who have epilepsy/seizuresOther/prefer not to respond

How many guest(s) will be attending the activity with you?

List name(s) and age(s) of guest(s) attending with you.

LOCATION CHANGE: Duluth Adult Meet & Greet – Caribou Coffee

June 15, 2022 @ 6:00 pm - 7:30 pm

RSVP

Duluth Adult Meet & Greet 06/15/2022

LOCATION CHANGE: Duluth Adult Meet & Greet – Caribou Coffee

June 15, 2022 @ 6:00 pm - 7:30 pm

Details

Venue

RSVP

Duluth Adult Meet & Greet 06/15/2022