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WRW Registration |
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Fill
out this registration form on the screen and print it out |
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I cannot attend but please keep me on the mailing list |
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YES |
Have you attended before? |
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YES |
Has your address changed since your last worksop? |
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YES |
Would you willing to receive your registration by email? Email address:
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YES |
Are you willing to speak or lead a workshop? |
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Name |
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Address |
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City/State/Zip |
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phone |
(optional) |
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Sobriety
Date |
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CABINS NON- SMOKING NO OUTDOOR GRILLING PERMITTED |
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Special Needs: |
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deposit $50.00 |
$40.00 due on arrival (NOTE: your deposit is NON-REFUNDABLE AFTER |
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full-paid $90.00 |
$00 due on arrival |
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$.00 |
OPTIONAL WRW Scholarship Donation |
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$.00 |
TOTAL amount enclosed |
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Make
check or money order payable to and mail to: |
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