Kizuna's Seattle Cultural Values Workshop Sign Up
We're looking forward to meeting you! Take just a quick minute to complete our registration form.
Okay, first just some basic information about you.

Your first and last name. *

date of birth? *

and mobile phone number *

This is a "just in case" item, in the case we need to contact you with and urgent update.
Address: Street *

Address: City *

Address: Zip Code *

How did you hear about this workshop? *

Thank you! We look forward to seeing you soon! If there are multiple participants to be registered, please complete the form again.
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