Please fill out this order form
All prices are for the kit only. Please add workshop fee of $100.
WORKSHOP: Saturday October 13, 2018 or Tuesday October 16, 2018
TIME: from 9 am to 2:30pm
YOUR ORDER and KIT PAYMENT MUST BE RECEIVED BY NOON on Friday October 3, 2018
Prices include shipping handling and CC processing fee.
Workshop Address is 9 Crown Street, Milford CT • Call 203-980-4103 for help or questions.
PLEASE Order 1 Drum Kit and 1 Stick Per Form.
Your First & Last Name *
Your answer
Your Email *
Your answer
Your Cell Phone *
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ELK KITS WITH MAPLE FRAMES
Shows circumference in inches and price. Drum stick not includes.
Add drum stick kit or ready made to the cost of your kit.
15" - $95
This is a popular size, light weight, easy to handle and make.
16" - $110
As comfortable at the 15" with a heavier sturdier frame still light enough for most woman to drum for hours.
18" - $120
Deeper sounding than the smaller size, this popular size is heavier and ideal for ceremony and healing.
20" - $130
This drum offer a rich and deep sound but requires a little more strength to be played longer.
Drum Stick *
Required
Date. *
Required
Drum Kit & Workshop Payment *
PAYMENT FOR YOUR KIT MUST BE RECEIVED BY THE ORDER DUE DATE. $100 Workshop fee is due in cash at the door or can be paid now with Credit Card: Square-up or Paypal with 4% fee. (Avoid fee when using friend & family with www.paypal.me/Chantal912 .) AFTER REGISTRATION YOU'LL RECEIVE AN EMAIL WITH LINK TO THE PAYMENT PAGE AFTER SUBMITTING THIS FORM.
Required
CONSENT AGREEMENT: READ & APPROVED *
I have chosen to experience the above workshop of my own free will. I am aware that the process of drum making requires the use of sharp tools and that I am fully able and willing to use such tools and take full responsibility for their usage. I confirm that I do not currently suffer from any mental or physical impairment, and have not been diagnosed in the past with any disorder, condition, or injury, either physical or mental, that might make it un-advisable for me to take the above workshop I am enrolling into. By "approving" this document below, I willingly agree to hold harmless and release from all liability the organizers, facilitators, and participants in this workshop, including Chantal Guillou-Brennan, IEMP, CHT, CQHHT and the Integrative Energy Medicine Institute. IMPORTANT NOTICE: If you are unable to attend on the day for which you registered you may choose to have us store your kit for the next workshop or pick it up by making an appointment to do so. We do not mail kits. You must advise us that you cannot attend at least 24 hours before the workshop date for which you registered so we do not soak your kit. Failing to do so may result is the loss of your kit. You may also choose to have us make your drum. The fee for this is $150. To notify us please email CGB@integrativeenergymedicine.com or text 203-980-4103 at least 24hr prior to the workshop.
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