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Living Well Retreat Registration
Welcome to the registration for the Hearts Connected - Living Well Retreat! We are excited you are joining us this March 2-4, 2018 at Mt Makiling Re-Creation Center.
Email address *
Name: (First and Last)
Your answer
Contact number: (Cell or landline) *
Your answer
I will be at the retreat: *
I have the following special dietary needs:
Your answer
I am able to drive: *
I will need to carpool: *
For carpooling purposes, I live in or can be picked up in: *
Your answer
I will be bringing my nursing baby with me.
I would like to request the following room-mates: (Please fill in up to 3 names)
Your answer
I am fine with the quad set up (four ladies to a room with two people sharing a bed)
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