Registration Form
Name_____________________________________________________________________
Street Address______________________________________________________________
Town______________________________________ State___________ Zip_________
Tel. No.________________________ E-mail_____________________________________
Emergency No. ______________________________
Where did you hear about this conference?________________________________________
Do You Have any special needs (i.e. Wheel Chair Access, food, etc)?
_________________________________________________________________________
Choice of Banquet Meal: Regular ___________ Vegetarian __________**
**Currently the Vegetarian Banquet Dinner Includes Milk and Cheese**
Choice of classes:
1-day Class: 1st choice _________________________________________________
2nd choice ________________________________________________
2-day Class: 1st choice ________________________________________________
2nd choice _______________________________________________
For Sherry’s & Jean’s 3 day class________________________________________
Please choose one 2 day and one 1 day class “just in case”
No class confirmations will be issued until fees are paid in full.
Registration Fees
Please copy and paste this Registration Form, completed, into an E-mail and send it to:
Diane Little
42 Juniper Rd
Placitas, NM 87043