JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Willka Yachapakuy
Registration Form for the August 12-15 Event with Oscar Miro-Quesada in Georgia. Please fill out all sections.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First name, Last Name
*
Your answer
City, State, Zipcode
*
Your answer
Phone Number
*
Your answer
Emergency Contact
*
Your answer
Any Health Conditions We Need to Know?
*
Your answer
ROOM PREFERENCE
*
Single Room
Double Room
Special Needs/Questions. Please call me.
Roommate Preference
*
Your answer
PMT EXPERIENCE -check all that apply
*
PMT Graduate
In person gatherings with Oscar
OMQ Shift Courses, PMT in process
PMT - in process
All of the above
New to tradition
Other mesa traditions
Required
Thank You
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
