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Essentials Registration Form (Viritual)
Through viritual sessions, you will discover how to be transformed by the renewing of your mind through Jesus!  I can't wait to go on this journey with you.  
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First and Last Name *
Mailing Address *
City, State, Zip *
Cell phone number *
Email Address *
What are the best days and times for your sessions? *
Do you have any experience with brain rewiring?  If so, please explain. *
Favorite Hobby *
Favorite Sweet Treat *
Favorite Color *
What are you hoping to get from this retreat/class/session? *
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