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Power Couples Registration
University of Maryland Extension Farm Stress Management Couples Retreat
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Email *
This is a pre-registration form only. Payment will not be collected at this time. In order to secure your spot, UME staff will contact you in January when payment will be collected.

For more details about the event, please review this flyer for the retreat.
https://drive.google.com/file/d/1SlQknZEX2STgyyMph6VXuDbyfQhkNaqK/view?usp=share_link
Name *
Phone Number *
County *
What type of farming do you do? *
Do you have any food allergies? (We are providing two lunches and one breakfast for attendees.) *
Do you require any special accommodations?
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