Sacred Self
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The Dragonfly Girls Event Registration
Participant Name
*
First
Last
Age
*
School
*
Participant Email
*
Participant Phone
*
Allergies/Dietary Requirements
Parents Name(s)
*
First
Last
Parents Name(s)
*
First
Last
Address
*
Street Address
City
State
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Armed Forces Americas
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ZIP Code
Phone
*
Email
*
Which Session Will Your Teen Attend?
*
11th -12th grade - February 25th, 2018 Oak Park IL
8th-10th grade - March 20th, 2018 Oak Park IL
8th-10th grade - April 8th, 2018 Wilmette IL
Comments/Questions
Workshop Cost
*
Price:
$250.00
Workshop Cost
$250 for 1 person
Bring a friend along and pay only $400 for 2
Bring a Friend
*
No thanks, just me ($250)
Additional person (+$150)
Your Friend's Details
Participant Name
First
Last
Age
School
Participant Email
Participant Phone
Allergies/Dietary Requirements
Friend's Parents Name(s)
First
Last
Friend's Parents Name(s)
First
Last
Phone
Email
Complete registration and pay
When you click submit, you will be redirected to PayPal to complete your payment.
Total
$0.00
Option
First Option
Second Option
Third Option
Sacred Self
Events & Retreats
Contact Us