Registration: $225. per person for early registration—up to one month prior to start of workshop. Sign-ups after Saturday, September 22, 2011 will be $255. You may pay by check or by credit card. Credit card payments may only be made for the full amount on either Visa or Master Card.

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 8, 2011 as all tuition matters must be complete before arriving at the workshop

Cancellation Policy: Cancellations will be processed as follows: notification received prior to September 29: full refund minus $60.00 administration fee; notification received prior to Thursday, October 6: 50% refund minus $75.00 administration fee. No refunds on or after October 6th. 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.

Lodging: Las Vegas Chamber of Commerce, http://www.lvchamber.com/contact
Chamber of Commerce 702-735-1616.
Hotel suggestions within 7 miles, ranging from $28-$114 per night
Boulder Station Hotel & Casino 800 683 7777 ($28. per night — new beds)
Hilton Garden Inn, Henderson: 702 322 9000
Holiday Inn Express, Henderson: 702 990 2323
Sunset Station Casino & Resort, Henderson: 888 786 7389
Comfort Inn, Henderson: 702 387 6520
Marriott, Henderson: 702 434 4700

Check Payment: To secure your registration, complete this form, and mail it with 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
(541) 708-0473

NAME:

PHONE NUMBER:

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

EMAIL ADDRESS:

WHERE DID YOU HEAR ABOUT THIS COURSE?

APPROXIMATELY, WHEN AND WITH WHOM DID YOU TAKE THE FSS WAY OF THE SHAMAN COURSE? (prerequisite for any advanced FSS Course)

LIABILITY RELEASE FORM

Date_____________________________

I will not hold Beth Beurkens, Catherine Valentine, Gary Corrales, or The Foundation for Shamanic Studies legally responsible for any injury, illness, accident or other misfortune that may occur in connection with my participation in the Shamanic Dreamwork workshop in Las Vegas, Nevada on October 22 & 23, 2011.

Signature____________________________________________________________

Printed Name_________________________________________________________

(PLEASE SEND VIA US MAIL. DO NOT EMAIL)

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

Thank you for your registration. We look forward to sharing Shamanic Dreamwork with you.