Please read the workshop information
page
first, then choose your payment options:
Print and fill out the Registration and Release forms below. Make
your deposit payable to Brigitte Sztab and send to:
Brigitte Sztab
PO Box 724
Chelan,WA 98816
All deposits are refunded if cancellation is received ten
days
prior to workshop. A $35 cancellation fee will be deducted. For a
refund
after that date you may send somebody else in your place. Please notify
brigitte@genext.net
of any changes.
Please register me/us for the Family Constellations
workshop
on ________________
PLEASE PRINT LEGIBLY:
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I/We will be attending as :
( ) Working participant ($200)PAYMENT OPTIONS:( ) Supporting participant/s ($100)
( ) Working Couple ($350)
( ) Enclosed is a $100 deposit (per person) to hold my/our place. Balance is due at the beginning of the workshop( ) Enclosed is my/our full tuition of $__________
RELEASE FORM
I understand that Family Constellations is a self-exploration workshop and not a substitute for medical treatment or mental health therapy. I am in good physical and mental health. If I am under the care of a physician or therapist, I have informed them of the nature of this work and have their approval to proceed.
Brigitte Sztab reserve the right to accept or reject any person as a participant at any time, and to make changes in the workshop or setting whenever deemed necessary for the comfort, convenience or safety of the participants, and to cancel a workshop at any time. In the event a session must be canceled, Brigitte Sztab shall have no responsibility beyond the refund of moneys paid to them by participants for that workshop.
By signing, the participant agrees that Brigitte Sztab shall not be liable for any damages, loss or expense occasioned by any act or omission by themselves or any other workshop participant.
Signed_______________________________Date_________