Portland, Oregon
November 2009 Dates TBA

Registration: $245. per person for early registration—up to one month prior to start of workshop. Sign-ups after October 14, 2008 will be $265. Debit and credit card payments may only be made for the full amount on either Visa or Master Cards.

Tuition Deposit: A $125. Deposit is required in order to register for this workshop and will be applied toward your tuition balance. You may also send the full fee to register. We recommend the deposit be paid early, as enrollments are limited.

Balance Due: Please send balance due by October 28, 2008 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 23: full refund minus $45.00 administration fee; notification received prior to Thursday, October 30: 50% refund minus $55.00 administration fee. No refunds on or after October 30, 2008. 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, John Brennan, Karyn Armstrong, 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 enrollment in the Way of the Shaman workshop at the Crystal Temple, Portland, Oregon on November 15 & 16, 2008.

Signature____________________________________________________________

Printed Name_________________________________________________________

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 840, Mt. Shasta CA 96067.

Credit or Debit Card Payment —Please fill out attached form with your original signature and full tuition amount. Credit/Debit card payments may only be made for the full tuition amount.

PLEASE DO NOT EMAIL THIS FORM. YOUR ORIGINAL SIGNATURE IS REQUIRED TO CHARGE YOUR CARD. PLEASE FILL IT OUT, SIGN IT AND PUT IT IN AN ENVELOPE ADDRESSED TO BETH BEURKENS, PO BOX 840, MT SHASTA, CA 96067 AND MAIL IT USPS.

Thank you for your registration. We look forward to sharing the Way of the Shaman with you in Portland, Oregon.