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Cassandra/Zen Mountain Center WINTER PRACTICE PERIOD APPLICATION January 5April 3, 2012 Part I. Please provide the following information. Name: Birthdate: Address: Phone: (day) (evening) email: FAX:

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Tassajarazen mountain center is a recreational facility located in the Tassajarazen mountain range.

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The purpose of Tassajarazen mountain center is to provide recreational opportunities and promote environmental awareness in the Tassajarazen mountain range.

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The information that must be reported on the Tassajarazen mountain center form includes name, contact information, date of visit, and any special requests or needs.

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