Seminar Registration Form

Seminar Name:
Seminar Cost:	$50/person (Payment Information)
Date and Time:	Seminars are held on Saturdays from 9 a.m. till 3 p.m.
Preferred Saturday:	(Please input a date)
Your Name:
Address:
E-mail:
Comments:
Phone:

Early registration is recommened since seating is limited.

Registration fee is indicated above.

No refunds can be given within 7 days of the seminar start date.

Make checks payable to BirdSong Counseling and send registration fee to:

All seminars are held at the above address, unless otherwise indicated.