Registration and workshop Information

When: Friday  February 23rd ( 6-9 p.m.)  & Saturday, February 24th 9:30-4:30

Where :   Rosie Bareis Sanctuary; 1010 NW 14th St.; Bend, OR

Registration Fee:  $125      includes both days; lunch on your own Saturday, February 24th

Fill out registration form below, detach and mail with a check to:  Robin Pfeiffer

For more detailed information and to answer any questions call either Robin Pfeiffer @. 541-389-3450 or Dennis Eagan 530-626-6353

REGISTRATION  (detach and mail with check)

NAME

E-MAIL ADDRESS

PHONE

PROFESSION

MAILING ADDRESS

City______________________State____________Zip_____________

Check # ________________________

MAIL TO:  Robin Pfeiffer, LCSW; PO Box 7754; Bend , OR  97708