Power Hour with Coach Lu 
Please note: Registration is not complete until you have paid in full for all participants 
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Email *
Date that the participant(s) will be attending. 

Please only list the date you have most recently paid for. If you care to pay for several sessions, at once, please reach out to us at tashateachesspanish@gmail.com
*
Full Name and Age of Participant 1 *
Full Name and Age of Additional Participants *
Health or Behavioral Matters We Need to be Aware of *
Name and Phone Number of Person with Participant(s) *
Name and Phone Number of Alternative Contact *
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