Art for the Soul Registration Form
Name of the Workshop/Retreat *
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Date(s) of the Workshop *
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Workshop/Retreat Fee *
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Your First and Last Name *
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Your email *
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Best phone number to reach you *
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Address Include House Number and Street *
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City *
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Province or State & Postal Code *
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Country
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Gender (Workshops are for all adults. However the Retreat at Loon Lake Lodge, May 2020, is for Women)
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Emergency Contact Name *
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Emergency Contact phone number (include postal code) *
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Relationship to you *
Health or dietary concerns we should know about
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Terms & Conditions Please check each box below *
Required
Questions Please refer to the information on our website or enter them here
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Signature *
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