The January Series ✨

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

January 8-12, 2024

Welcome to a week of nourishing your body, mind, and spirit!

To complete your registration, please answer each of the following questions as much as you feel comfortable disclosing. This information will be kept confidential and not shared with anyone else.

Email *

Record my email address with my response

Name *

Preferred Pronoun

Phone Number *

Emergency Contact Number *

Name, Phone and Relationship to you

Please confirm the classes you will be attending live via zoom

Please note: all classes will be recorded and shared exclusively with participants

Monday, January 8

Tuesday, January 9

Wednesday, January 10

Thursday, January 11

Friday, January 12

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms