Portland, Oregon
Saturday November 6, 2010
Sunday November 7, 2010

Registration: $225. per person for early registration—up to one month prior to start of workshop. Sign-ups after October 12, 2010 will be $245. Paypal payments may only be made for the full amount on either Visa or Master Cards.

To register for this course, fill out the registration form and liability release below which needs to be sent via US mail. And either pay by check or Pay Online.

Before Oct., 12th $225.00 After Oct., 12th $245.00

Balance Due: Please send balance due by October 28, 2009 so all tuition matters are complete before arriving at the workshop.

Cancellation Policy: Cancellations will be processed as follows: notification received prior to Thursday, October 21: full refund minus $45.00 administration fee; notification received prior to Thursday, October 28: 50% refund minus $55.00 administration fee. No refunds on or after October 28, 2010. If you cancel 30 days or more before the workshop, you may apply the amount paid to another of my FSS workshops with no penalty.

To register for this course, print this page and then add your information to the forms below:
1. Registration Form
2. Liability Release Form
3. Payment

NAME:

PHONE NUMBER:

MAILING ADDRESS: (include city, state and zip code)

EMAIL ADDRESS:

WHERE DID YOU HEAR ABOUT THIS COURSE?

LIABILITY RELEASE FORM

Date_____________________________

I will not hold Beth Beurkens, Margi Layman, The Foundation for Shamanic Studies, or the Crystal Temple legally responsible for any injury, illness, accident or other misfortune that may occur in connection with my participation in the Way of the Shaman workshop at the Crystal Temple, Portland, Oregon on November 6 & 7, 2010.

Signature____________________________________________________________

Printed Name_________________________________________________________

(PLEASE SEND VIA US MAIL. DO NOT EMAIL)

CHECK PAYMENT

Check Payment — After sending this email, 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. Box 483, Ashland, OR 97520.