Ashland, Oregon
Hidden Springs Wellness Center
Saturday, March 27th, 9:30 AM-3:00 PM
TUITION: $65-175 (flexible fee scale) when using PayPal
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INFORMATION: Call Beth Beurkens
(541) 708-0473
TO
REGISTER: Full tuition for the course is on a sliding scale. ($60. – $175. when paying by Check) Choose one of the following:
PayPal:
I am enclosing a $_______ check for the full tuition fee.
_____ I would like to use a payment plan. I am enclosing a $50. check for my deposit and a post dated check for $______ for the remainder my tuition fee.
Beth Beurkens, PO Box
483, Ashland, OR 97520
Name_____________________________________
Address______________________________email________________________
City_____________________
State_____ Zip__________
Phone_________________________
Cancellation Policy: The $50. pre-registration deposit is non-refundable. Once the workshop commences, all tuition fees become non-refundable
-----LIABILITY RELEASE FORM-----
Date_____________________________
I will not hold Beth Beurkens, or the Hidden Springs Wellness Center legally responsible for any injury, illness, accident or other misfortune that may occur in connection with my participation in the Writing As A Sacred Path workshop at the Hidden Springs Wellness Center, Ashland, Oregon March 27th, 2010.
Signature____________________________________________________________
Printed Name_________________________________________________________
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Check Payment - Secure your registration by putting your deposit or full tuition check (made out to Beth Beurkens) in an envelope addressed to: Beth Beurkens, P.O. 483, Ashland, OR 97520. Please include a registration form and liability waiver for each individual.
Thank you for your registration. We look forward to sharing the Writing As a Sacred Path workshop with you.
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Writing As A Sacred Path