Registration for Massage, Hands-on Healing Modalities
and Artisans
Name: _______________________________________________________________
Address:_____________________________________________________________
City_______________________________State__________________Zip__________
e-mail: _______________________________________________________________
Phone:______________________________________________________________
Certification: _________________________________________________________
Bodyworkers:Years of Experience_________
Insurance__________
1/2 table for arts&crafts full table
_______________________________________________________________
________________ ______________________________________________
Limited space available, please date you registration and make your 50$ deposit this will
ensure you spot. When we fill you will be on the list for the next event if you chose to
attend. For more information about massage contact or artisan information call Gayle
Wagner at 218-252-0867
and Artisans
Name: _______________________________________________________________
Address:_____________________________________________________________
City_______________________________State__________________Zip__________
e-mail: _______________________________________________________________
Phone:______________________________________________________________
Certification: _________________________________________________________
Bodyworkers:Years of Experience_________
Insurance__________
1/2 table for arts&crafts full table
_______________________________________________________________
________________ ______________________________________________
Limited space available, please date you registration and make your 50$ deposit this will
ensure you spot. When we fill you will be on the list for the next event if you chose to
attend. For more information about massage contact or artisan information call Gayle
Wagner at 218-252-0867
Make Checks or Money order.
Mail to:
Lorna Koestner
301 Doty Ave W
Pine River, MN 56474
Mail to:
Lorna Koestner
301 Doty Ave W
Pine River, MN 56474
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Camp Knutson is located on
Whitefish lake:
11169 Whitefish Ave
CrossLake MN 56442
Healers and readers will be
available at their rates.
If you have questions please
contact retreat organizers
Gayle Wanger
sylvia@sylviasattic.com
218-252-0867
Donna Barnett
donna_barnett@comcast.net
Lorna Koester
lornasgarden@hotmail.com
218-839-1090
Karen Weego
kweego8@gmail.com
Whitefish lake:
11169 Whitefish Ave
CrossLake MN 56442
Healers and readers will be
available at their rates.
If you have questions please
contact retreat organizers
Gayle Wanger
sylvia@sylviasattic.com
218-252-0867
Donna Barnett
donna_barnett@comcast.net
Lorna Koester
lornasgarden@hotmail.com
218-839-1090
Karen Weego
kweego8@gmail.com