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Registration for Mid-Atlantic Region Integrative Facilitation Training

Please fill out the form and then drop a check in the mail.

Mail check to:            
Karen Stupski            
21300 Heathcote Rd.
Freeland, MD 21053

Do you have any questions?
 
CONTACT PERSON
Karen Stupski
Phone: 410-357-9523
Email: karen@heathcote.org (subject line “Integrative Facilitation”)
 

Dates Attending
Payment Information
Make check payable to Laird Schaub.  Payments are due 2 weeks prior to each class.  Send to address at beginning of registration form.
Logistics Information
Which type of accommodations are OK for you?  Check all that apply (lodging options at the host communities may be limited so it is important for us to know all the types of accommodations that you are comfortable with).
Check all that apply.
Emergency Contact
Please describe any that we should be aware of.
Please describe.
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