Feel The Flow of Success Marathon

Sat.Feb. 14, 2012 10am-10pm 852 Brafferton Pl. Stone Mountain. GA 30083
Click submit below to be taken to the payment portal. Call 404.201.2356 if you have problems.

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone #2
Phone #2
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Phone #1 Phone #1 - ### - ### ####
Email
Choose the Workshop Day and Time best for you:

Choose the Workshop Day and Time best for you:
The Sat Workshop beginning Feb. 4th @ 10 AM Eastern I can't make this one, but I am very interested
I'm coming primarily for

I'm coming primarily for Family Relationship(s) Personal Growth Intimate Relationship Emotional Growth and Dev. Gen. Communication and Conflict Resolution Skills How to challenge oppression better.
Briefly explain the core of the conflict you wish to resolve, growth you want to attain, skills you want to acquire.
I qualify for reduced registration because:

I qualify for reduced registration because: I want to support a Habesha student going to Afrika ($10) I'm a member/endorser or donor of Afrikan Community Centers I want to support a student scholarship fund @ AYA ($10)
If you qualify for reduced registration, and want your donation (Habesha or AYA) to go a particular student, please put the student's name below. If unspecified the donation will go to general student support.