SISTERHOOD IS POWERFUL, INC. - Womens' Empowerment Study Group
You may print this form and fill out for mailing, or just send by email.
 
 
Registration Form Below:
 
Legal Name:___________________
 
Nickname/PIC:_________________
 
Group or Coven Affiliation:__________
 
Mailing Address Line1:_____________
Mailing Address Line 2:_____________
City _________  State:___  Zip:______
 
Phone number:_________________
Email address:__________________
Age:___________
Children permitted if 14 or older and with parent or guardian
Emergency Contacts(mundane names please)
Onsite:________________________
Emergency Contact Offsite:______________
EmergencyOffsite Contact Ph#:______________
 
 
 
Health or Medical Concerns:
This is where you tell us about any health problems, food allergies, other allergies and the like that you might have:
 
 
Special Skills:
Are you CPR certified? A doctor or nurse or other medical professional? Do you know American Sign Language or a foreign language? Please let us know what skills you might have that could help us out.
 
 
Please return Registration form to ladyastarte584@yahoo.com
 
Mailed forms must be sent to :
Sisterhood Is Powerful
Anita Covington
1019 Union School Rd.
Knoxville TN 37914
 
 
 
 
 
 
 
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