Workshop Registration Home » Workshop Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *EmailConfirm EmailAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Are you a student? *YesNoSelect the workshop(s) you want to attend:Fasting Workshop [Dearborn, MI – Saturday, March 2nd, 2024] – $50.00Select the workshop(s) you want to attend (student rate): Fasting Workshop [Dearborn, MI – Saturday, March 2nd, 2024] – $30.00Total$0.00Stripe Credit Card *Submit