Reservation Application Form

Workshop Reservation Form

To book a workshop for your group, please complete all questions.
Organization*
Name of Group*
Contact Name*

First NameLast Name
Contact Phone Number*

Area CodePhone Number
Contact E-mail*
Name of Billing Contact*

First NameLast Name
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Billing E-mail*
Billing Phone Number*

Area CodePhone Number
Billing Fax Number

Area CodePhone Number
Type of Workshop*

Half Day Low ElementsFull Day Low ElementsFull Day Low/High ElementsBirthday PartyOther
Number of Participants*

5-1011-1516-2021-2526-30Other
Please list 3 choices for workshop dates.
Choice 1*

MonthDayYear
Choice 2

MonthDayYear
Choice 3

MonthDayYear
Please give us a brief description or background of your group.
Comments
Should be Empty:

Workshop Reservation Form