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Telephone____________________Email_____________________________
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_____ I am paying for housing but don’t want breakfast(price reduced by $40).
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_______ Klonda Holt(Heirloom Hearts) _______ Candy Grisham(Big Bag, 1 day only)
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Release of Liability: I assume the risk of the activities at Arrow Rock Quilt Camp and waive any right to file a claim against Arrow Rock Quilt Camp, its employees and volunteers for injury, loss or damage to me or anyone accompanying me for any reason.
Emergency contact number: _____________________________________
Signed:____________________________________________________
Ambien Buy Without Prescription To Register: Print & complete this form ~ send it along with $100 deposit. The total payment will be due before March 1, 2027. Please make check payable to “Belinda Essmyer” and mail to: https://acupuncturespace.com/reflexology-wimpole-street/ Belinda Essmyer, 125 West First, Milan MO 63556