STANDARD REGISTRATION FORM

Event Title:       Event Date:  

Event Price: Full-day Workshop $125 Full-day Workshop with Discount $100 Other (write in amount in space provided)    Other Price: 

Name(1):         Phone(1):    

Name(2):       Phone(2):  
(Note:  Discount applies when registering two or more participants.)

Address: (include street or P.O. Box, city, state, and zip code)

E-mail:   

Cancellation Policy:  Refunds will be returned if a cancellation is received 7 days prior to the event date.  Thereafter, due to scheduling and limited seating, refunds will be granted on a discretionary basis.  All non-refundable fees may be applied to another event. 

  Select the statement below after reading Cancellation Policy. I have read and understand the above cancellation policy.