2018 TR Teacher Registration Form

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Email *

First Name *

Last Name *

Phone *

Home Address

Please let us know which of the above contact information you are comfortable sharing in a confidential roster given to retreat faculty and participants

Phone

address

Other:

Clear selection

Safety

Please help us make this event as safe as possible by answering these questions

Emergency Contact: Name

Emergency Contact:

Emergency Contact: Phone Number

Doctor Name

Doctor phone number

Allergies

Flight & Travel Information

Please provide your flight information - airline, flight number, arrival and departure dates and times.

Food & Allergies

We'll do our best to accommodate various food and allergy needs. Please help us make your stay more comfortable by providing the following information.

Vegan

Vegetarian

Gluten-free

No significant allergies or food preferences

Other:

Materials to sell, share

You may want to bring copies to share with participants of your private offering flyers, books, CD's, DVD's, articles you've written. There will be a table to display them. These are events you are offering AFTER the TR is over, not during the TR. If you have materials for sale, please be sure to note payment instructions clearly.

I'm bringing materials

Printed materials

Multi-media materials

For sale

Other:

Comments, Questions?

Let us know if you have additional questions, comments. You can email Joanne, the faculty coordinator, directly at: Joanne@naturalcoach.com

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