Workshop Registration Form

Beginning Expanded Awareness

"An Introduction to expanded states of consciousness"

Please fill in this form to register for the event.  Payment can be made via cash, check or credit card (via Paypal).  By submitting you agree to the following terms.

The Outreach Facilitator(s) retains the right to determine if I may or may not continue with the sessions and Program. If he or she deems me unsuited for continuation in a session or in the whole program, he or she will return the balance of my fee on a pro-rated basis. In consideration of the mutual benefits which are expected to arise out of the activities in which I intend to engage, and especially the benefits, educational and otherwise, which I myself expect to derive therefrom, I hereby release and forever discharge the Outreach Facilitator(s), and all their officers, agents, representatives and employees, and their successors from all claims and demands whatsoever which I, my heirs, executors, administrators and assigns have, or may have, against them by reason of any injury of any nature whatsoever which I might suffer as a result of such activities, and I hereby expressly declare that any such activities are entered into by me voluntarily in an effort to increase my knowledge of the subjects under investigation. I have read, understand, and agree to the above.

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Facilitator Dawn A. Tobin
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