Two Roads Registration

August 28-30 | Retreat Hosts
Richard & Rebecca Paris
502-939-7601

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Need babysitting during classes?

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$25 payment WAIVED if you promise to share ideas

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I / We promise to share ideas and participate in the brainstorming sessions

Name

Phone

Email

Address

Age

Emergency Contact

Emergency Phone

Need lodging?

Please select all that apply.

Yes No

Need babysitting during classes?

Please select all that apply.

Yes No

Food allergies / special notes

T-shirt size

Please select all that apply.

XS S M L XL 2XL 3XL 4XL

Description

August 28-30

Retreat Hosts
Richard & Rebecca Paris
502-939-7601

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