Individual Registration

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Laugh Yourself Session Registration Form

Email *

INDIVIDUALS Registering for My Scheduled Sessions

Full Name *

Cell or Phone Number for Emergency Cancellations *

How Did You Hear About This

Social Media

From a Friend

I have attended one of Carolyn's Sessions before

Searching the Internet

TYPE OF SESSION YOU PREFER TO DO) *

30 Minute ZOOM Group Session to Start Or End Your Week Energized

15 Minute Zoom Group Session to START An AMAZING Weekend

Required

WHAT SESSION OR SESSIONS YOU HOPE TO ATTEND:

CHECK ALL THAT MAY APPLY...

MONDAY SESSIONS

11 AM (30 Minute ZOOM Group Session)

7 PM (30 Minute ZOOM Group Session - Upon request)

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FRIDAY SESSIONS

11AM (30 Min ZOOM Group Session)

SATURDAY SESSIONS

10 AM (15 Minute ZOOM Group Session

11AM (30 Minute ZOOM Group Session)

DATE YOU HOPE to join in for first session (We need to know 24 hours ahead of session to send Zoom info) *

After Your First 3 Free Sessions You will be able to Choose 2 Ways to Get More:

$20 for 5 more Sessions

$20 per month for FREQUENT Laughers who love to come more than once a week

Methods of Payment Accepted:

Cash... arrange drop off by emailing laughyourselfhealthier@gmail.com

A copy of your responses will be emailed to the address you provided.

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