Registration – Torchlight Recovery

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Learn with Us
About Us
Approach
Mission
Give
Get In Touch

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Learn with Us
About Us
Approach
Mission
Give
Get In Touch

Learn with Us
About Us
Approach
Mission
Give
Get In Touch

Menu

Learn with Us
About Us
Approach
Mission
Give
Get In Touch

Register Here

General Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Where Do You Work?(Required)

What's Your Work Title?(Required)

Work Address (street, city, state, zip)(Required)

Work Phone

How Did You Hear About Torchlight Recovery?

Demographic Information

Which gender Identity do you identify with ? (Check all that apply):(Required)

Woman

Man

Trans

Non-Binary

Self-Identify

What is your race/ethnicity(Required)

White Non-Hispanic

Black Non-Hispanic

Hispanic/Latino/a

American Indian/Native American

Asian/Pacific Islander

Brazilian/Portuguese

Cape Verdean

Self-Identify

Age Range(Required)

18-25

26-35

36-50

51+

What is your recovery status?(Required)

In recovery

Ally of recovery

Family member

Select Your Training(s)

Inclusive communication -- $75.00

Unconscious Bias -- $75.00

Practicing Self Care -- $90.00

Do You Have Access to a Desktop or Laptop for This Training?(Required)

Yes

No

Inclusive communication

Price:

Unconscious Bias -- $75.00

Price:

Practicing Self Care -- $90.00

Price:

Total

Please Note: If you are experiencing financial hardship and would like to be considered for a partial scholarship, please contact us directly at randy@torchlightrecovery.org

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card(Required)

Card Details

Cardholder Name

Total

2-4 Washington Street
Dorchester, MA 02121
info@torchlightrecovery.org
617-465-1299

CONTACT US

Name

Email

Message

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