<TITLE>Family Dharma Registration Form</TITLE>

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<h2 align="center"><b>Family Dharma Conference Registration Form</b></h2><p align="center"><b>Friday evening, January 22 and Saturday, January 23</b></br>
Nalanda West, 3902 Woodland Park Ave. North.
Seattle, WA 98103
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Names (Required) *
How many will be attending Friday Evening?
How many will be attending Saturday morning?
How many children for Dharma activities Saturday morning?
List the children's ages, please.
How many will be attending Saturday afternoon?
How many children for Dharma activities on Saturday afternoon?
List the children's ages, please.
Email Address (Required) *
Phone Number(s) (Required for children's Dharma activities) *
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