Imitation Conference Registration Form PP

Imitation Conference Registration Form

This conference is jointly sponsored by RSCC and WECAN.
* Red asterisk indicates a required field.
How Did You Hear About This Event (you can choose more than one)*

I have studied here beforeWord of mouthPrint adSearched on internetSocial mediaOther
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Profession
Name of Your School (if you have a school affiliation)
NOTE ABOUT WORKSHOP OPTIONS:

Tara Thornton's workshop "Making a Wooden Honey Pot Spreader" has a limit of 15 participants. If that workshop has been removed from the list below, that means that the participant limit has been reached.

Allison Coldwell's workshop "Garlic Basket Weaving" has a materials fee of $25, so if you have selected that workshop, you need to also select the materials fee in the payment section of this form.

Lili Golbous' workshop "Creating a Needle Felt Picture" also has a materials fee of $20. So if you have selected that workshop you need to also select the corresponding materials fee in the payment section.
Workshop Choices (Choose One)

Practical Work - Strengthen the Body and Nourish the Soul, with Nancy BlanningGarlic Basket Weaving, with Allison ColdwellCreating a Needle Felt Picture, with Lili GolbousLet's Write a Puppet Story, with Dianne GoldsmithForm & Movement: An Experience Towards Harmony, with Micaela and LiedewijThe Inner Work of the Teacher, with Yasmeen MamdaniSoul Nutrition - Biography and Social Art, with Rihanna RoutledgeMaking a Wooden Honey Pot Spreader, with Tara ThorntonLevity and Living Pictures, with Karen Weyler
MEALS

Vegan and gluten-free dinner on April 4th and lunch on April 5th are included in the registration fee.

MATERIALS FEE

If you selected a workshop that requires a materials fee, be sure to select the corresponding materials fee in the Payment section below.

GROUP RATE DISCOUNT

The group rate is 10% off for five or more from the same school. Email info@rscc.ca for the coupon code. Discount codes do not apply to the materials fee.
ACCOMMODATION: There is an option of booking floor space in one of the kindergarten rooms for overnight sleeping. There is no cost, but you will have to bring your own mat and sleeping bag. If you would like to do this, please indicate by checking that option below. There are hotels nearby.

I would like to reserve space to sleep in one of the kindergarten rooms.I will make other arrangements for accommodation.
Payment Options

Pay using this form and a credit cardBill my school
Items to be billed to school for bill my school option - Select all that apply:

Individual conference registration $125Individual registration as part of a group of five from the same school $112.50Materials fee for Needle Felting $20Materials fee for Garlic Basket Weaving $25
Name of person to send invoice to (for bill my school option)

First NameLast Name
Email of person to send invoice to (for bill my school option)
example@example.com
Address of School (for bill my school option)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment

Imitation Conference Registration (Individual)$125.00CAD

Materials Fee for Creating a Needle Felt Picture$20.00CAD

Materials Fee for Garlic Basket Weaving$25.00CAD

Enter coupon

Total $0.00CAD

MEDIA RELEASE AGREEMENT I agree to be photographed, recorded and videoed by Rudolf Steiner College Canada (RSCC) and their affiliates, and permit RSCC to use (a) my name, image, likeness, and voice, and (b) all photographs, recordings, video recordings, audiovisual materials, writings, statements, and quotations of or by myself (collectively the "Materials") for the purpose of promotion of RSCC and their services, without further consent or payment to me. I understand that all the Materials and all recordings and media etc., will remain the property of RSCC. I understand that RSCC is under no obligation to use the materials. This document contains the entire agreement between RSCC and myself concerning the subject matter hereof.
MEDIA RELEASE AGREEMENT (above)*

YES, I consentNO, I do not consent
Additional Information / Comments

Pay with Credit Card

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