Reflecting Inner Beauty Registration
Workshop Begins Saturday, June 1, 2019-3:00 pm Sharon Church 5209 NE 22nd Ave. Portland, OR 97211
Participants First Name *
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Participants Last Name *
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Participants Age *
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Grade for the 2019-2020 School Year *
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Email *
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Mailing Address *
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Phone number *
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T-shirt Size *
How did you hear about the workshop? *
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Topics of Interest (check all that apply) *
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Parent/Guardian Name *
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Mailing Address (If different than participant)
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Email Address *
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Parent/Guardian Phone Number *
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