1.Hit "Control P" to print this screen from your computer
2.Fill out Form and 3. Send to address on form
OR
Fill in contact form at the very end of page and Kathleen will send you a pdf of the registration form for the 4 day or the 2 day series.
2.Fill out Form and 3. Send to address on form
OR
Fill in contact form at the very end of page and Kathleen will send you a pdf of the registration form for the 4 day or the 2 day series.
YANTRA PAINTING WORKSHOP
with Pieter Weltevrede
Date: _________
Name: ________________________________________________
Address: ______________________________________________
Telephone/Cell phone: ___________________________________
E-mail: _______________________________________________(only for sending you information about the workshop or notice of future Pieter Weltevrede workshops)
Payment amount enclosed: _______________________________
If we are unable to accommodate your enrollment request, your check will be returned to you.
All registration must be in writing; signed and full payment must accompany registration.
Please print this form (if e-mailed) and mail completed registration form and check ($200 if received by November7th or $225 after November 7th, 2009) made out to Kathleen Whalen to:
All proceeds go to Pieter to support his life%u2019s work as a sacred artist.
Kathleen Whalen
17010 37th Avenue NE
Seattle, WA 98155
Please indicate any physical or other limitations that may require accommodation.
_________________________________________________________________________
How did you hear about the workshop?( we like to thank people)_________________________________
Agreement: Submission of this signed registration form constitutes applicants acceptance of payment, and the refund policy. Pieter Weltevrede reserves the right to cancel any class or workshop in which case he is only liable for returning your tuition fee in full.
Signature required for registration: _____________________________________________
For youth under 18, parent or guardian signature required.
You will receive an information packet via email and hard copy after we receive your payment for the workshop. We look forward to seeing you in November.
Note: There will be a viewing of Pieter%u2019s portfolio, as an introduction Friday Nov 13th at ~5:30pm.
with Pieter Weltevrede
November 14 & 15th , 2009
Date: _________
Name: ________________________________________________
Address: ______________________________________________
Telephone/Cell phone: ___________________________________
E-mail: _______________________________________________(only for sending you information about the workshop or notice of future Pieter Weltevrede workshops)
Payment amount enclosed: _______________________________
Workshop enrollment is on a first come, first serve basis. Class size is limited to 10. Register early to ensure your enrollment. Checks will be processed as they are received.
If we are unable to accommodate your enrollment request, your check will be returned to you.
All registration must be in writing; signed and full payment must accompany registration.
Please print this form (if e-mailed) and mail completed registration form and check ($200 if received by November7th or $225 after November 7th, 2009) made out to Kathleen Whalen to:
All proceeds go to Pieter to support his life%u2019s work as a sacred artist.
Kathleen Whalen
17010 37th Avenue NE
Seattle, WA 98155
Please indicate any physical or other limitations that may require accommodation.
_________________________________________________________________________
How did you hear about the workshop?( we like to thank people)_________________________________
Agreement: Submission of this signed registration form constitutes applicants acceptance of payment, and the refund policy. Pieter Weltevrede reserves the right to cancel any class or workshop in which case he is only liable for returning your tuition fee in full.
Refund policy -- No refunds after Nov 7th, 2009.
(You may find someone to replace yourself, or gift it as a scholarship for another attendee)
Signature required for registration: _____________________________________________
For youth under 18, parent or guardian signature required.
You will receive an information packet via email and hard copy after we receive your payment for the workshop. We look forward to seeing you in November.
Note: There will be a viewing of Pieter%u2019s portfolio, as an introduction Friday Nov 13th at ~5:30pm.
The workshop will be approximately from 8:30 am - 4:30 pm every day, with a lunch break midday. Yoga stretching will begin at 8:15am.
Once you have registered, you will receive directions to the workshop location and more details about how to prepare. Please include your email address in the contact form below as well, and recieve notice of future workshops and FREE student painting time.
Contact form: