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White Tara New Years Weekend Teaching and Retreat Registration
December 30, 2017 - January 7, 2018
Diamond Mountain Retreat Center
admin@diamondmountain.org
(520) 847-1196
Full Name *
First Name and Last Name
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Email *
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Address *
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Phone Number *
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Birthdate *
Month/ Day/ Year
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Emergency Contact Name *
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Relationship to You *
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Emergency Contact Email *
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Emergency Contact Phone *
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Are you able to walk distances up to 1/2 mile over rocky/ inclined terrain? This question will help us determine housing options and transportation needs to/ from classes. *
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Dietary Preferences (check all that apply) All meals are vegetarian. *
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Food Allergies
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