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DEWS OF QUIETNESS - COURSE REGISTRATION
The course Family Affairs for parents will be hosted by Dews of Quietness from 11 Febraury 2021 to 25 March 2021 (7 Weeks every Thursday)
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Email
*
Your email
Name & Surname
*
Your answer
Untitled Title
Email
*
yourname@gmail.com
or
yourname@domain.com
Your answer
Home Address
*
Your answer
Phone number
*
Number format 0821234567
Your answer
WhatsApp Number
*
Number format 0821234567
Your answer
Workshop Introduction 8th February 2021
*
Please indicate if you will be able to attend a 1 hour session on the above date?
Yes
No
Maybe
Gender
*
Pleasse indicate your gender by selecting one of the options below
Female
Male
Prefer not to say
Other:
ID Number
*
Your answer
Workshops Attended
*
Please indicate the last 3 workshops you attended
Your answer
Photography, Media and Social Media
*
I give Dews of Quietness permission may use workshop photos of myself in the media and or on social media platforms
No, Dews of Quietness may not use photos of of me in the media or on social media platforms
Required
Comments or Questions?
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A copy of your responses will be emailed to the address you provided.
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