Archive - 2008

July 19th

Fall 2009 Douglass Street Lab Registration Form

Sat, 07/19/2008 - 5:17am

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

 

DATES OF PROGRAM:  

8 consecutive Tuesdays, starting late September 8th 2009; 7-9:30pm. (Exact dates to be announced).  

 

Cost: $395; $100 non-refundable administration fee, $295 workshop cost. 

 

DATE:                              

 

YOUR INFO: 

 

NAME:                        

                     

ADDRESS:                    

 

Telephone Number:                

 

Email:

 

EMERGENCY CONTACT INFORMATION: 

 

NAME:                        

 

RELATIONSHIP:                    

 

TELEPHONE NUMBER :              

 

 

Policies: 

-    All fees are due and payable on or before August 7th, 2009. Space is guaranteed only after payment-in-full.

-    Workshop fees ($295.00) are refundable if cancellation is made 2 weeks prior to first class. 

Half of the workshop fees ($147.50) are refundable if cancellation is made 1 week prior. 

(With less than one week cancellation refunds will be only be made at the discretion of the facilitator.) 

-    *Any canceled classes on the part of the facilitator due to illness or emergency will be made up for in the following two Tuesdays. 

-    Notice by email will be given in the event of cancel/reschedule. In the event that the facilitator fails to hold a class or reschedule by email, participants will be entitled to a refund 1/8 of total fees, including administration fee ($49).

-    In the unlikely event that the meeting place needs to change, participants will be given 24-hour notice. 

-    Neither facilitator nor owner of the private residence where the classes take place will assume any responsibility for any injury incurred.

 

NOTE: There is a cat at the residence. While it is a large, airy space, and no interaction is necessary, please consider this prior to 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.