Golden Seventh-day Adventist Church
3101 S Golden Rd
Golden, CO 80401

(303) 279-4251


Welcome to the                                                         
Golden Seventh-day Adventist Church
                                                      Golden, Colorado
Depression Recovery Program
Cancelled for 2010
 Nine Tuesday Evenings
September 15 through November 10, 2009
7:00 pm to 9:00 pm
Brief Description | Program Flyer

Location
 JMI Telescopes
8550 W 14th Ave
Lakewood, CO  80215

JMI Telescopes Building
Near 14th Ave & Carr St, Lakewood		 Free Information (Preview) Meeting
 Tuesday, September 1, 2009 at 7:00 pm
Come see if this program is for you!
Price
 Regular price for materials:  $225.00
Your price, including seminar:  $140.00
With on-line registration:  $135.00
(Add $20 for couple sharing materials.)
Registration and Payment Deadline
 Tuesday, September 1, 2009
If you decide to attend, you can pay at the end of the Information Meeting.  Register now, space is limited!
Payment Methods
 Check or Money order made out to the Golden SDA Church or Cash
On-line Registration Confirmation
 Also includes dates, times and location.
Contact Us for More Information
Depression Recovery Program
On-line Registration
Please fill our one person per form.
Today's Date
   
Name
Address Line 1
Address Line 2
City, State, ZIP ,  
   
Telephone Number 1  
Telephone Number 2  
Email Address
   
How did you learn of this program? Newspaper, Radio, Flyer, Poster, Website
Letter, Friend, Other (specify):
              
   
Are you interested in attending any other seminar?  (Check all that apply.) Vegetarian Cooking School
Stress Seminar
Wellness Seminar
Bible Study
Exercise Club
Natural Remedies
Hydrotherapy Seminar
Food, Friends and Fellowship (light food & devotional)
   
Gender Male, Female
   
Race (Optional) African American, American Indian, Asian,
Caucasian, Hispanic, Other (specify):
              
   
Marital Status Never Married, Married, Widowed,
Separated or Divorced
   
Highest Level of Education Completed Grade School,
Some High School,
High School Graduate,
Some College or Trade School,
College Graduate,
Master's Degree,
Doctoral Degree
   
Occupation
   
Religious Preference
No Religious Preference
   
Have you previously been diagnosed with any mental disorder?  (Check all that apply.) Depression
Panic Attacks
Obsessive Compulsive Disorder
Bipolar Disorder
Schizophrenia
Other Psychological Disorder (specify):
              
   
Are you currently on medication or being treated by a physician / counselor? Yes, No
   
Have you ever attempted suicide? Yes, No
   
If yes, how long ago?
   
Are you considering suicide now? Yes, No
   
Why do you desire to be a part of this seminar?
   
Any Other Comments
   
Status   (Must be set to Complete to Submit)