Registration Form for Retreats & Workshops with Carol Proudfoot-Edgar

Title of retreat/workshop for which you are registering:__________________________________

Location: (City/State)_________________

Name of sponsor/coordinator:__________________

Your Name: _____________________________________________________________

Address: _____________________________________________________________________

City: __________________________________________ State:________ Zip: ___________

Email: _________________________________________

Phone Number: ____________________________________

Amount of deposit enclosed: ____________

Please fill out this form and send to the sponsor of the workshop for which you are registering.

Thank you, Carol