Creative Spirit Fusion Residency Registration
Expressive Arts, Self-Care & Mindfulness Classes
Dates: Sept. 1- Oct. 2
Held on Zoom~ In person classes can be assessed/group
Contact: with questions
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Name *
Email *
Number of, names of, and ages of all participants (family & teen sessions) *
What FULL series will you (or your child) be attending? *
If not attending a Full series, what specific classes will you (or your child) attend?
Do the participants have any physical or emotional injuries, limitations, or sensitivities that I should be aware of? *
Yes/No    ~ Please provide a description, so I can best support all attending.
Would you be interested in outdoor, distanced, in-person classes for the final sessions, if they can be made available?
What do you hope to get out of (or for your child to get out of) these experiences?  What are you most excited about?
What county are you from?
How/Where did you hear about this program?
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