Good Vibrations
Personal Growth Center & Gift Shop
Please fill out the form below to register for upcoming programs & events.
It is important to register a program for several reasons:  
-   Many programs have limited space
-   Many practitioners will not hold a program with little/no sign ups in advance
-   Practitioners need to be able to have enough supplies/materials for all participants
-   We need to have a phone number to reach you if there is a need to notify you of
any changes to the program date/time/etc. (give us your home & cell/work #'s)
*We will only call you if there is a particular program you are looking for or if a program that you are enrolled
in is cancelled/unavailable/changed     *We do not share your phone number with anyone else!
If you would like to book a psychic reading, please call the shop at 845-357-8423 -
    as there are specific appointments
First Name
 Last Name
Email Address*
*We must have if registering online
Street Address
City
 State
 Zip Code
Phone 1
 Phone 2
Program/Practitioner Registering For:
 Day/Date of requested program/appointment
 Time of requested program/appointment
Remarks:
Thank You!