Name ___________________________ Phone
Email _________________________________________ Gender
Strong food dislikes
Medical conditions and
conditions and medications
handicaps, such as difficulty hearing, cannot sit on floor easily, etc.
have____ years experience with energy work. What type?________________________
permission for my address, phone, and email to be put on a list and given to
Homestar School only; please include a two page letter telling the basic
recent life and a description of your relationship with God/Goddess.
Email form to: Jill Frew at firstname.lastname@example.org