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TAKING
IT LIGHTLY REGISTRATION FORM
(
) Yes! I want to start Taking It Lightly!
Enclosed
is $_____________deposit/full tuition for the
_______________course.
Tuition
MUST be paid in full one week prior to course!
Name:
_________________________________________
Address:
_________________________________________
City,
State: _______________________ Zip: ___________
Home
Phone: (
) _________________________
Work
Phone (
) _______________________
Email:
________________________________
Who
referred you to the course?
___________________________________________
Do
you have a therapist? (
) No
( )
Yes_________________________________
T-Shirt Size (
circle one )
M L
XL XXL
XXXXL
P.S.
Do you know why angels can fly? Because they take themselves
LIGHTLY!
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