Please read the workshop information page first, then choose your payment options:
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 98816
All deposits are
refunded if cancellation is received 14 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:
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I/We will be attending
as :
( ) Working participant (
) Supporting participant ( )Working couple
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Workshop Fees |
before July 24th |
07/24/31 |
After August 1st |
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Working Participant |
$175.00 |
$195.00 |
$220.00 |
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Supporting Participant |
$95.00 |
$115.00 |
$140.00 |
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 $__________
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 reserves 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 her 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 herself or any other workshop participant.
Signed_______________________________Date_________