Chakra Coloring & Guidance Registration Form
Thank you for registering!  Your registration will be complete once you have submitted a registration form and full payment.  We look forward to seeing you soon.    
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Participant's Name *
Email *
Phone Number *
Full Home Address (number, street, city, state, zip) *
Which date(s) do you plan on attending? (MAY 2 IS FULL)
May we use photos of you for future publicity? *
How did you learn of this program? *
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