*Workshop Name and
Date:
*Your name:
*Your email address:
*Your phone number:
*Why do you want to
attend this workshop?
*Do you have any
related experience?
*How did you find out
about this workshop?
Comments. Anything
else you would like us
to know?
* = required
Please use the following form to register for workshops. We will be
contacting you soon to confirm your registration and send you further
information.
Thank You!
Owl Creek Programs
If you are registering
for "The Art of
Mentoring" please
send a $150 deposit
or full amount
(non-refundable) per
person to:

Owl Creek Programs
P.O. Box 7351
Bloomington, IN 47407

*Please make checks
payable to Owl Creek
Programs. Your
deposit will ensure
your space in the
workshop.

     Thank You!