Registration Form for Evolutionary Aikido Point Reyes Seminar in Nov 2018

Evolutionary Aikido Point Reyes Seminar

Please fill in the registration form below.
Full Name*

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Address*

Street Address

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Telephone with Area Code*
Email*
Dojo*
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If you will be staying in the hostel, please indicate male or female:

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Form of Payment - Indicate how you plan to pay*

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Has the student submitted a completed waiver form?

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Payment Information - You can make your PayPal payments, and get information for where to send a check, on this page - https://bodyawakens.com/event/
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