The Wisdom in Aging and Illness An evening of insight and guided Feeding Your Demons practice

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1 Welcome

2 People in your group

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

3 Participant Info

Preferred Name	Please note our system will automatically use your legal first name in communications, but we will make every effort to address you by your preferred name during a retreat
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Is this your first Tara Mandala program? *
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More detail on how you heard about this retreat/event	If you answered 'Other' to how you learned about the program, please tell us more!

4 Review Waivers and Policies