Firehouse Leadership Wellness Workshop April 5-8, 2024 | Surprise, AZ EMPLOYEE CONTACT INFORMATION Name * First Name Last Name Email * Phone * (###) ### #### Agency Affiliation * Denu Consulting Group EdZen Solutions Vanura Home Health Services - California Vanura Home Health Services - Arizona Optima Care Home Health Services Care Dimensions of the Desert GMC Professional Hospice Care Averticare Denu Clinical Masters / Denu University LifeQuest Diagnostic Ubora Health ATTENDANCE Please indicate whether you will be attending the workshop. * RSVP Regrets GUEST INFORMATION Name First Name Last Name Position Favorite Activity * Biking Hiking Tennis Pickle Ball Basketball Swimming Other If other, please indicate: Thank you!