Teen Girls' Overnight Retreat               Registration Form                                                                                          
Event Timing: July 15-21, 2019
Event Address: Gaia Wellness Retreat, 209 Chemin Usher, La Peche, QC
Contact us at : blueheronschoolofdiscovery.ca, blueheronschoolofdiscovery@gmail.com, facebook.com/blueheronschoolofdiscovery/,  613-804-3395
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Age (by Aug 26, 2019) *
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Parent/Guardian- full name(s) *
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