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Busyfeet Holistic Centre Workshop Registration
Please complete this form and submit as part of your registration. Once we have received both your deposit and this form, we will confirm your seat has been reserved for you.
Full Name as you would like it to appear on your certificate: *
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Phone Number: *
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Email: *
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Mailing adress
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Name & Phone # of emergency contact: *
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Date of Birth *
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Are you familiar with the energy field? *
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