Embodyment Workshop

REGISTRATION FORM

Please register for this workshop by printing out & completing a copy of this form.

Name __________________________________________________

Address ________________________________________________

Phone ___________________________

Cost of workshop:

Signed _____________________________ Date ________________

Please make out your cheque/money order to Ann Ohlmacher & mail with the completed form to:

ANN OHLMACHER
613-795-4836
annyrose@embodyment.org