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Busyfeet Holistic Centre - Retreat Registration
Please complete this form and submit as part of your registration.

-Early Bird Fee 282$ paid in full by June 4 /2019
-After June 4 : Fee will be 297$
*Deposit of 80$ to hold your spot

Once we have received both your deposit and this form, we will confirm your seat has been reserved for you.
More details will be available and sent to you via email to prepare for event.
Email *
Name: *
Phone Number: *
Email: *
Best email: *
Name & Phone # of emergency contact: *
Date of Birth *
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