Family Constellations USA

Please read the workshop information page first, then choose your payment options:

Secure online payment

Check and Money Orders:

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

All deposits are refunded if cancellation is received 28 days prior to workshop. A $30 cancellation fee will be deducted. For a refund after that date you may send somebody else in your place. Please notify us of any changes.

Please register me/us for the Family Constellations workshop on ______________________

PLEASE PRINT LEGIBLY:

Name/s:
Name/s:

Address:
Address:

Phone:
Phone:

Email:
Email:

I/We will be attending as :

PAYMENT OPTIONS:

( ) 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 $__________

I am aware that all deposits minus a $30 cancellation fee are refunded if cancellation is received at least 21 days prior to workshop.

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 and Marita Kufe 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 and Marita Kufe 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 and Marita Kufe shall not be liable for any damages, loss or expense occasioned by any act or omission by themselves or any other workshop participant.

Print Name________________________________

Signed____________________________________

Date_____________________________________