Realize your Radiance

A portion of the proceeds
from this event will be made
to New Beginnings - a local
crisis center for battered
women and their children

Register

Cost:      $100 ($85 if registered by April 1st)

First Name*
Last Name*
Company Name
Address 1*
Address 2
City*
State*
Zip Code*
Phone Number*
Cell Phone Number
Email Address*
Number registering for*
Names registering (besides yourself)
How did you hear about the event?*

Morning Breakout Session - 1st choice
Morning Breakout Session - alternate
Afternoon Breakout Session - 1st choice
Afternoon Breakout Session - alternate

Note: Participants will be placed in workshops on a first come-first served basis so please register early to be sure you get into the ones you most want.