Registration for Facilitator Development Program in the Work That Reconnects April thru Nov, 2017
PLEASE FILL IN ALL SECTIONS.
PROGRAM INCLUDES STUDY GROUPS AND ASSIGNMENTS APRIL THROUGH JUNE, A 12 DAY INTENSIVE JULY 18 -30 AT RIVERS BEND RETREAT CENTER IN MENDOCINO AND STUDY/SUPPORT GROUPS THROUGH NOVEMBER.
Costs for Intensive lodging options include all meals at Intensive as well as administration and tuition for entire program. A $500 deposit will reserve your place. ($50 of deposit not refundable after March 1). Send check to Molly Brown, 722 Meadow Ave, Mt Shasta CA 96067, or pay via PayPal:
. We must receive deposits from at least 15 people by March 1, 2017 to hold our reservation with Rivers Bend.
First name, Last name
Preferred Ethnic Identification
Complete mailing and street address
Please list your past WTR workshops: when, with whom, for how long?
How do you plan or hope to use the Work That Reconnects?
Your preferred lodging for Intensive (per person cost includes meals at Intensive as well as admin and tuition for entire program)
Shared lodge or vintage cabin $2960
Single room in lodge or vintage cabin $3260
Shared rustic cabin $2775
Single room in rustic cabin $3075
Shared tent cabin (4 tent available, in order of reservations received.) $2780
Camping (4 tent spaces available, in order of reservations received.) $2670
Food preferences for Intensive
Volunteer tasks willing to undertake
Registration and lodging assignments
Carpool arrangements from Bay Area to Rivers Bend
Set-up and clean-up meeting room during Intensive
A copy of your responses will be emailed to the address you provided.
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