Women's Building Workshop - Registration

Send in registration form by June 10th. After June 10th, please call Jenn at (660) 883-5511 or email jjcorbin@usa.net.

You will receive a confirmation letter with directions upon receipt of your registration and payment. Please make checks payable to Dancing Rabbit, Inc.

YES! Sign me up for the women's building workshop! The fee is a sliding scale ($265-550), pay what you can. I have enclosed a check in the amount of $_________.

No. I will not attend this workshop, but please keep me updated for future workshops.

No. I will not attend this workshop, but I would like to make a tax-deductible donation to make this workshop available for low income women: $__________.

Name____________________________________

Address___________________________________

_________________________________________

Phone #___________________________________

Email ____________________________________

I am bringing #________ child(ren).
Ages: _____________________
I understand that childcare is provided. There is no food fee for nursing children. I have added $25 for each child under 12 and $50 for each child over 12.

I am planning on travelling by the following method: _____________________________________

I have the following dietary needs: __________________________________________________

Please print out and send form to:
#1 Dancing Rabbit Lane, Rutledge, MO 63563.

Thank You!