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EL COLECTIVO
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THE WOMB RESERVATION
First name
(Obligatorio)
Last name
(Obligatorio)
Email
(Obligatorio)
Phone
(Obligatorio)
Business Name
(Obligatorio)
Is your business a 501(c)(3)?
(Obligatorio)
Yes
No
Today's date
(Obligatorio)
Día
Mes
Mes
Año
What are you hosting?
(Obligatorio)
Class
Event
Meeting
Is this reoccurring
(Obligatorio)
Yes
No
Are you a Colorado Birth Collective member?
(Obligatorio)
Yes
No
Time and date of your class, event, or meeting
(Obligatorio)
Día
Mes
Mes
Año
Horario
:
Horas
Minutos
a.m.
Is this a paid class, event or meeting?
(Obligatorio)
Yes
No
Please describe your class, event or meeting as best and as descriptive as possible.
(Obligatorio)
Please upload any media involved with your class, meeting, or event.
Upload File
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