Workshop Registration Slip HR
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):
-
I have dietary restrictions or allergies. Please specify: _______________
-
I require special accommodations (e.g., wheelchair access, ASL interpreter). Please specify: _______________
-
I would like to receive updates and promotions from Future Writers Academy via email.
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:
-
Yes
-
No
Amount: $ [Amount]
Date: [Date]
Confirmation Email Sent:
-
Yes
-
No
