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Renewing the Vision Workshop
The workshop will be held December 3rd to the 4th. The cost is $60 but you can apply for a scholarship for $30 of the cost.
Name
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Last
Male
Female
Email address
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Cell Phone
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Emergency Contact
First
Last
Relationship to Emergency Contact
Emergency Contact Phone
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