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Please note, this online form is for Edmonton attendees only!

Please note that photos and video may be used at this event for future promotional uses. Registering for this events grants permission to Stephanie Staples and Your Life Unlimited to use these materials to promote wellness retreats to others.

Retreat Date:	March 11, 2010
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Comments	Allergies or Special Needs: ------------------------- What I would most like to get out of this retreat:

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