Registration for Open Heart Workshops Levels 1 & 2 July 22-23rd, 2017
Please complete the following. You may contact Rana Jackson Open Heart Workshop Coordinator at ohworkshopswnc@gmail.com with questions. Thank you!
Name First, Last *
Your answer
Name as you wish it to appear on Certificate
Please print clearly
Your answer
Address *
City, State
Your answer
Email Address *
Please print clearly!
Your answer
Age
Your answer
Phone number(s)
used only for communication about this workshop
Your answer
Occupation
(Please specify if Clergy, Full-time Student, Senior/Retired, Child, or your profession)
Your answer
PREVIOUS MEDITATION EXPERIENCE:
(not necessary)
Your answer
How did you hear about this workshop?
Your answer
If you are repeating workshop, please list when and where you took OH 1 and/or 2 and with what instuctor
Your answer
Check the workshops you are registering for below
If this is your first time attending an Open Heart Workshop, you may sign up for Levels 1 & 2 (Level 1 is pre-req for Level 2). Scholarships are available!! Please inquire with coordinator.
New $100
Repeat $25
Senior (62+) Discount $75
Full Time Student Discount $75
Other
Open Heart Level 1
Check the workshops you are registering for below
If this is your first time attending an Open Heart Workshop, you may sign up for Levels 1 & 2 (Level 1 is pre-req for Level 2). Scholarships are available!! Please inquire with coordinator.
New $150
Repeat $25
Senior (62+) Discount $112.50
Full Time Student Discount $112.50.50
Other
Open Heart Level 2
Please send deposit of $50 per workshop, made payable to Open Heart, to workshop coordinator Rana Jackson 144 Sienna Pl Saluda, NC 28773
Deposits secure your space in the workshop.
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