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SAY HELLO
Registration - Workshop - with Rachel Hunter special guest - Tauranga April 17 & 18
First Name
*
Last Name
*
Email
*
Phone Number
*
Address
*
Emergency Contact Name & Phone Number
*
Please list any dietary requirements or allergies
Please notify us of any underlying medical conditions that may affect you during the Workshop. Please note that any disclosure is to be made at your discretion and that any such disclosure will be kept confidential.
I have read and agreed to all terms and conditions
*
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