Cultivating your Mindfulness Garden Attestation Form

"*" indicates required fields

Participation Statement*
I participated in the training, Cultivating your Mindfulness Garden with Randy Wolbert, MSW on January 5th, 2024 from 9:00am-10:00am PT. Please accept this as verification that I participated in the event in its entirety.
Name
Example: Jane Doe, PhD, CADC I
Hidden
I confirm the single line above contains my name and licensure exactly as I want displayed on my CE certificate.
Can we send you information about upcoming trainings?
By signing below, I verify that I attended this event in its entirety.