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* 1. Full Name

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* 2. Email

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* 3. What workshop are you registering for

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* 4. What is the date of the workshop? 

Date / Time

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* 6. Why do you want to take this workshop? 

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* 7. Do you have any health issues we should know about? 

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* 8. Do you have any food allergies/sensitivities? if so, please explain. 

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* 9. Please provide an emergency contact name, phone # & email for our records

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