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Participant's Name: ................................................................................
Address: ...............................................................................................
.................................................................Post Code: .............
Phone Number: ................................................................. (Home)
Phone Number: ................................................................. (Work)
Email Address: ................................................................ (please print clearly)
Course Attending: ...........................................................................
Please phone or email to reserve a place and enclose registration form with cheque made out to Compassion Coach. 27 Rowland Street, Warwick QLD AUSTRALIA 4370
If no workshop is scheduled in your area please contact me to express your interest in attending and I will endeavour to schedule one.