Healing Room Training Class Registration
 
 Thank you for your interest in the Healing Room Training Classes
Classes will be held on Thursdays, March 21, 28 and May 9, 16 from 6:30-8:30 pm and on Saturdays, April 6 & 13 from 1-3 pm at St. Peter’s Lutheran Church.
 

Child's Name(s) (required)

Child's Name(s) (required)

Child's Name(s) (required)

Child's Name(s) (required)

Child's Name(s) (required)

Parent's Name(s) (required)

Phone Number (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Your Email (required)

Any medical concerns, allergies, special diet we need to be aware of? (required)

Children 5th grade and up may participate on a canoe trip with parent's permission. (required)

Parent's Signature for permission (required)

Children participating (required)

Date (required)

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