Dates of Program: 6 consecutive Tuesdays 7-9:30 PM starting January 29th, 2019 in San Francisco's Pacific Heights neighborhood. Cost: $450 = $150 non-refundable administration fee + $300 workshop cost. Today's Date Name: * Phone: * Email: * Address: * Emergency Contact: * Relationship: * Contact Phone: * Policies: * I Agree $150 non-refundable administration fee holds your seat until 14 days before the first class, at which time full payment is due. Workshop fees ($300.00) are refundable if cancellation is made two weeks before first class. Half of the workshop fees ($150.00) are refundable if cancellation is made one week before first class. (With less than one-week cancellation refunds will be only be made at the discretion of the facilitator.) *Any cancelled classes on the part of the facilitator due to illness or emergency will be made up for on the two Tuesdays following the original dates. Notice by email will be given in the event of cancel/reschedule. If the facilitator fails to hold a class or reschedule by email, participants will be entitled to a refund 1/6 of total fees, including administration fee ($75). In the unlikely event that the meeting place needs to change, participants will be given 24-hour notice & participants will be responsible for meeting in substitute setting within San Francisco. Neither facilitator nor owner of meeting place will assume any responsibility for any injury incurred. Exact address and instructions will be emailed upon receipt of payment. By checking this box and submitting this form, you acknowledge acceptance of the Policies stated above. Notes: If you have any notes or questions you would like to pass on, please enter them here. CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.