Name
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First Name
Last Name
Email
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Telephone
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(###)
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Street Address
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Town
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State, District, or Territory
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Zip Code
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Province/Country (if outside United States)
Date of Birth
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MM
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YYYY
Pronouns (she/her, he/him, they/them, etc.)
Full Name(s) of any folks in your party other than you, if any. Please ensure they also complete this form for themselves.
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Tell us about any religion, faith, philosophy, self-help, or wisdom resources that you find meaningful, if any.
Please indicate which times typically work best for your schedule to gather by Zoom:
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Any canine furry friends? Please remember that, while Santosha at Hillholm Estate happily welcomes your canine companion, it is your responsibility to ensure that your dog is comfortable in its environment and (1) will not be disruptive to other guests, (2) is comfortable around other dogs, including Pamplemousse and Winnegance, Santosha's house dogs, and (3) will not be damaging to any property. Please bring a crate for your dog in the event of emergency. Please keep your dog on a leash outside the property at all times.
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Yes!
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Tell us anything else we should know. What brings you to Santosha now? We want to know all about you: the more detail, the better.