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Art for the Soul Registration Form
https://www.marionmccristallstudio.com
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Name of the Workshop/Retreat
*
Your answer
Date(s) of the Workshop
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Your answer
Workshop/Retreat Fee
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Your answer
Your First and Last Name
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Your answer
Your email
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Your answer
Best phone number to reach you
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Your answer
Address Include House Number and Street
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Your answer
City
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Your answer
Province or State & Postal Code
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Your answer
Country
Your answer
Gender (Workshops are for all adults. However the Retreat at Loon Lake Lodge, May 2020, is for Women)
Your answer
Emergency Contact Name
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Your answer
Emergency Contact phone number (include postal code)
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Your answer
Relationship to you
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partner/spouse
family member
friend
Health or dietary concerns we should know about
Your answer
Terms & Conditions Please check each box below
*
I have read the Terms & Conditions on website
www.marionmccristallstudio.com
and agree to them
I agree to sign a Release and Indemnity, (i.e. Liability) Form at the beginning of the Workshop
I agree to pay the full fee before the start of the Workshop as per the Terms & Conditions
Required
Questions Please refer to the information on our website or enter them here
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Signature
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