2024 Fire is the Heartbeat Fall Gathering with the Ajanku Brothers and Grandmother Nancy Andre
September 28, 2024
10:00 AM - 10:00 PM
AGES: 0 - 100
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TRANSLATE THIS FORM: Español, Português, Tiếng Việt, Tagalog, Kreyòl ayisyen
FOR WHOM?
I WILL PARTICIPATE
MY HOUSEHOLD/FAMILY WILL PARTICIPATE
YOUR (PARENT/GUARDIAN) NAME:
YOUR (PARENT/GUARDIAN) CONTACT INFORMATION:
NAME:
(not parent)
CONTACT INFORMATION:
(OPTIONAL)
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HOUSEHOLD/FAMILY DETAILS:
PARTICIPANT MAILING ADDRESS:
* ONLY IF OUTSIDE OF USA
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HOW DID YOU FIND US?
Please help us understand
which of our marketing efforts are most effective
by checking the factor or factors
that most influenced your decision to register!
WORD-OF-MOUTH:
heard about it from a friend or family member
WEB:
searched for something on the internet and found your website
SOCIAL-MEDIA:
saw something on social media: Instagram, Facebook, etc.
GROUP:
participated as part of our school or other group program
EMAIL:
received a marketing email or e-newsletter from you
BROCHURE:
received or read a printed brochure or program catalog
POSTER:
saw a poster on a bulletin board
PRINT:
saw a printed advertisement or article in a newspaper or magazine
ADVISOR:
A school counselor, advisor, or paid consultant recommended it
ENCOUNTER:
randomly encountered your staff or students while we were out in the world
EVENT:
found your table or display at a school, fair, or other public event
MYSTERY:
A mysterious force has led me here; I cannot explain it
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Please create your invoice based on the number of participants you are registering for. A deposit of $25 is required to hold your space in the workshop. Please use the payment screen at the end of this registration process. Cash payments for the balance of your tuition are preferred.
CLICK TO CHOOSE ANY OF THESE OPTIONS:
FEE
RISE-UP-VILLAGERS, FAMILY, Camping And Food
We recognize families come in different constellations. Use this deposit amount if you are attending with teens or children.
$295.00
FEE
RISE-UP-VILLAGERS, INDIVIDUAL, Camping And Food
Select this option to hold your place at this year's gathering. People below age 16 must attend with an adult.
$175.00
SHOPPING CART
ADJUST QUANTITIES:
ITEM
QUANTITY
SUBTOTAL
* INCLUDES SALES TAX
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ALMOST DONE, KEEP GOING!
PLEASE COMPLETE THIS VALIDATION:
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