PROGRAMS:

Storytelling

Counseling

please print this form and mail to:

Lifecycle Consultants
Dr. Royda Crose
1609 West Broadway, Columbia, MO 65203

Registration Form

Mother/Daughter Retreat

Friday, September 21, 7:00 PM. through Sunday, September 23, 12:00 Noon, 2007

Rickman Conference Center, Jefferson City, Missouri

Register Early - Space limited to 15 pairs

Mother’s Name_____________________________Age____

Address___________________________City____________State______Zip_____

E-mail____________________________Telephone ____________________________

Daughter’s Name_____________________________ Age____

Address___________________________City____________State______Zip_____

Email_____________________________Telephone____________________________

Tuition $185 each before September 10 ($195 each after September 10)

Please mail $100 non-refundable deposit ($50 each) to reserve your registration to:

Lifecycle Consultants, Dr. Royda Crose, 1609 West Broadway, Columbia, MO 65203

For more detailed information e-mail royda@lifecycles.net

Lifecycle Consultants
Missouri Office:
1609 W. Broadway
Columbia, MO 65203
573-881-0522

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