Workshop Registration Slip
Workshop Title | Introduction To Creative Writing |
Workshop Date | [Date] |
Location | [Your Address] |
Registration Fee | $50 (Payment instructions on the reverse side) |
Participant Information
Full Name | [Your Name] |
Email Address | [Your Email] |
Phone Number | [Your Phone Number] |
Address | [Your Address] |
City | Boston |
State | Massachusetts |
Zip | 02108 |
Emergency Contact Name | [Your Name] |
Emergency Contact Phone | [Your Phone Number] |
Additional Information (Please check if applicable):
Terms And Conditions
1. Payment: Registration fee is due upon submission of this form. Payment instructions are provided on the reverse side of this slip.
2. Cancellation Policy: Cancellations made 7 or more days before the workshop date will receive a full refund. No refunds will be issued for cancellations made less than 7 days before the workshop.
3. Liability: FutureWriters Academy and the Elmwood Community Center are not responsible for any personal injury or loss of property during the workshop.
I have read and agree to the terms and conditions stated above.
Participant's Signature: [Your Signature]
Date: [Date]
For Office Use Only:
Payment Received:
Amount: $ [Amount]
Date: [Date]
Confirmation Email Sent:
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