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  Mail-in Application

Please print this page (or the PDF version) using your browsers 
print option and mail to the address below.

Fill out completely, sign and send, along with your payment in the form of 
Certified Check or US Postal Money Order (ONLY!), made out to:

Jade Wah'oo Grigori
PO Box 4448 
Sedona, AZ 86340

Or you can Register electronically and pay online using 
your major Credit Card or PayPal Account.

 

Mail-in Application Form

I am submitting this application for my participation in the Shamanic Event of:

(Date)______________(Location)_____________________

Event Title: ______________________________________

Name _____________________________________DOB __/__/__

Phone (______)_______________Email___________________

Address ___________________________________________

City __________________________________ State ____ Zip _______

Date_____/______/______

Signature__________________________________________

Included is a payment of: $____________

ABSOLUTELY FORBIDDEN ARE: Pets, drugs, vanity toiletries and violence.
ABSOLUTELY REQUIRED ARE: An open heart and mind, hard work in all Camp activities, including the set up and break down of Camp (excepting those individuals with disabilities) and a capacity for enjoyment!
No late arrivals or early departures accepted.

 

 

 

 

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