Art for the Soul Registration Form
Name of the Workshop/Retreat *
Date(s) of the Workshop *
Workshop/Retreat Fee *
Your First and Last Name *
Your email *
Best phone number to reach you *
Address Include House Number and Street *
City *
Province or State & Postal Code *
Gender (Workshops are for all adults. However the Retreat at Loon Lake Lodge, May 2020, is for Women)
Emergency Contact Name *
Emergency Contact phone number (include postal code) *
Relationship to you *
Health or dietary concerns we should know about
Terms & Conditions Please check each box below *
Questions Please refer to the information on our website or enter them here
Signature *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy