Use the form to request an appointment.
We will call you to confirm.

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Name
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Release of Liability *
By checking this box I agree that by participating in any and all activities in this program I agree that I assume all risk of injury, and agree to release and discharge Kari Dane Matlock from any and all claims or causes of action, known or unknown arising out of self negligence.

Cancellation Policy: Please give courtesy notice 24 hours in advance for cancellations.