Dragonfly Healing Center
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Welcome to the CodeSpa Virtual Reality and 360 Maker Retreat! 

Please complete all of the items on this form (in one session, as your input will not be saved until you submit). Providing the demographic information will help us in evaluating the diversity of our programs. Providing your health information will allow us to best care for your needs. Your information will be kept confidential.  

    Calculate income tier by region http://www.pewresearch.org/fact-tank/2016/05/11/are-you-in-the-american-middle-class/
Submit

Thank you!
You will receive further information from us as the retreat gets near.  If you have questions in   the meantime, please contact us at codespavr@gmail.com ​
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Dragonfly Healing Center is a 501(c)(3) Nonprofit Public Charity Organization, Tax ID 84-3197387
P.O. Box 812 Kihei, HI 96753​
Copyright © 2019 Dragonfly Healing Center
All  rights reserved