Registration Form

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Registration Form

 

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 Please use this form to register for all Partners in Healing workshops

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 Deadline for registration is 7 days before date of workshop

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 Full payment is required with registration

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 Please make checks payable to:  Cecilia Racine

 

    Workshop Title: ___________________________________________________

    Workshop Date & Location: __________________________________________

   Name: ___________________________________________________________

   Address: _________________________________________________________

   City:_____________________________________________________________

   State and Zip Code: ________________________________________________

    Phone:___________________________________________________________

    Email:____________________________________________________________

 

Upon receipt of your registration, a confirmation letter will be sent to you. 

A charge of $35.00 will apply to all NSF returned checks.

 

Please print out & mail the completed registration form, along with your payment  to:

 

Cecilia Racine

A Labor of Love

5038 MacArthur Blvd, NW  

Washington , DC 20016

 

Cancellation Policy:  A full refund will be given with a written notice of cancellation  30 days or more prior to the workshop date.  If cancellation notice is received less than 30 days prior to the workshop date, no refund will be issued but the fee may be applied towards a future workshop if desired.

 

PLEASE NOTE:  Nursing infants under the age of six monthsare welcome in the workshop. However, given the intense and mature subject matter, the attendance of older, more active children is not recomended.  If you are nursing an older child, perhaps you can arrange for nearby childcare to bring your child to you for feeding.

 

 

 

 

 

 

 

(202) 486-9545

ALaborofLoveDC@aol.com