2019 ADL Conference Healer/Reader Registration
Days: September 5-8, 2019
Spirit in the Desert Retreat Center, Carefree, AZ 85377

Healing Room Coordinator, Rev. Tiya Keyze
Submission deadline: Wed. July 31, 2019;  confirmation should be received by Fri., Aug. 2, 2019
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Email *
Name *
Organization *
What days will you be attending the conference? *
Required
Length of each Healing Session *
How many sessions total would you like to offer? *
Will you bring all your own equipment/supplies? Do you need anything onsite? Please, explain below. (Please Note: Depending on what you need, we may or may not be able to accommodate that need.) *
Submission Details
All submissions will need to be received no later than July 15, 2019 to
Healing/Reading Room Coordinator Rev. Tiya Keyze
Email Submission (PREFERRED): tiya@playfulwellness.com
(Please incude "ADL Healing/Reading Room Application" in the Subject line and cc  revmiche.radiant1@gmail.com)
Paper Snail Mail Submission (ONLY if you really can't submit by e-mail): ADL 2019 Healers/Readers, PO Box 247, Mill Spring NC 28756
A copy of your responses will be emailed to the address that you provided.
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