Workshop Registration Form

Please print, fill out and mail or fax to:

Final Passages
P O Box 1721
Sebastopol, CA 95473
Fax: (707) 823-7709

Name________________________________________________Date_______________________________

Address_________________________________________________________________________________

Hm Phone _________________Wk or cell phone _________________ e-mail ________________________

Check the course(s) you want to take:

Creating a Loving Passage Introductory Course

Honoring Life’s Final Passage Level One

Honoring Life’s Final Passage Level Two (Prerequisite – Level One)

Honoring Life’s Final Passage Level One and Two when offered in a 4-day format

Need lodging?_______________ Need CEU’s? _________________

Make checks or money order payable to Final Passages

For Creating a Loving Passage send a $20.00 check to hold your place.

For Honoring Life’s Final Passage courses send $125.00 deposit for Level One and $250 for both Levels or full amount to address above. Any remaining balance of seminar, lodging and/or CEU fees may be paid before or at registration.