Flower of Life Workshop Registration Form
Please
print fill out and send with your deposit of $111
Workshop Date : _____________________________
Workshop Location: _____________________________
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Phone: _____________________________________________________________________________
Email: ______________________________________________________________________________
Date of Birth: ___________________________________
How did you find out about the Flower of Life Workshop?
____________________________________________________________________________________
The following questions are being asked to assist you in having a supportive environment
in the workshop:
Have you taken the Flower of Life before? _________ If so, how many times have you taken it?________
Do you have any allergies? _______ If so what kind?__________________________________________
____________________________________________________________________________________
Do you have any mobility restrictions? ______ If so what are they? _______________________________ ____________________________________________________________________________________
Emergency phone number of a family member or friend:________________________________________
Have you seen any of Drunvalo’s videos or read any of his books? _______________________________
If yes which? _________________________________________________________________________
__ Along with this form I am sending you a check or money order for the deposit of $111
__ Along with this form I am sending you a check or money order for the full amount of $222.
__ I am using Pay-Pal to make my deposit of $111
__ I am using Pay-Pal to pay in full $222
Nancy
McMillan: Certified Flower of Life 2000+ Facilitator
Mailing Address: 473 Easy street in Pagosa Springs, CO 81147
Phone: 970-264-9071
Email: nlmac33@yahoo.com
Website: www.thefloweroflife333.com
For information contact the Pagosa Springs Chamber of Commerce:
970-264-2360 or 1-800-252-2204,
for local accomodations www.pagosa-springs.com
FOL | Workshops | Who Is Nancy | Email Nancy | Pagosa Springs | Beyond FOL | Links
Mailing Address: 473 Easy street in Pagosa Springs, CO 81147
Phone: 970-264-9071
Email: nlmac33@yahoo.com
Website: www.thefloweroflife333.com
For information contact the Pagosa Springs Chamber of Commerce:
970-264-2360 or 1-800-252-2204,
for local accomodations www.pagosa-springs.com
FOL | Workshops | Who Is Nancy | Email Nancy | Pagosa Springs | Beyond FOL | Links