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Fall 2008 Douglass Street Lab Registration Form

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This entry was posted on 7/19/2008 7:17 AM and is filed under uncategorized.

Please Cut and Paste this into a Word Document or an email and email it to matthew@matthewclarkdavison.com 

DATES OFPROGRAM:  8 consecutiveTuesdays, starting August 26th 2008; 7-9:30pm. The last class isscheduled for 10/14/08*.

Cost:$375; $100 non-refundable administration fee, $275 workshop cost.

DATE:

YOUR INFO:

NAME:                                          

ADDRESS:                                       

TelephoneNumber:                              

Email:                                         

EMERGENCY CONTACTINFORMATION:

NAME:

RELATIONSHIP:

TELEPHONE NUMBER:

Policies:

-       Allfees are due and payable on or before August 26th, 2008. Space isguaranteed after payment.

-       Workshopfees ($275.00) are refundable if cancellation is made 2 weeks prior (by 8/12/08).

Half of the workshop fees ($137.50)are refundable if cancellation is made 1 week prior (by 8/19/08).

(With less than one weekcancellation refunds will be only be made at the discretion of thefacilitator.)

-       *Anycancelled classes on the part of the facilitator due to illness oremergency will be made up for in the following two Tuesdays (10/21/08 and/or10/28/08).

-       Noticeby email will be given in the event of cancel/reschedule. In the event that thefacilitator fails to hold a class or reschedule by email, participants will beentitled to a refund 1/8 of total fees, including administration fee ($47).

-       Inthe unlikely event that the meeting place needs to change, participants will begiven 24-hour notice.

-       Neitherfacilitator nor owner of the private residence where the classes take placewill assume any responsibility for any injury incurred.

 

NOTE: There is a cat at the residence. While it is alarge, airy space, and no interaction is necessary, please consider this priorto enrolling if you have allergies or other animal concerns.    

 

Please email this form to matthew@matthewclarkdavison.com and pay using PAYPAL 

account matthew@matthewclarkdavison.com.

By emailing this form, Named participant has accepted and agreed to the policies above. 

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