Registration: Creativity through Storytelling Workshop, October 15-19, 2008

Reserve me a place in the October 15-19, 2008 workshop weekend.
Enclosed is a deposit of $150 (payable to Jay O'Callahan, PO Box 1054, Marshfield, MA 02050).
 
Name:

Address:
City: State: Zip:
Day Phone: Eve. Phone: Cell:
E-Mail:
 

Special Food Concerns or other:

 

I want to spend the night at Alice's house     yes         no
 

I hereby give permission for any photos taken at the workshop, to be used in Jay O'Callahan's
brochure or on his website
yes       no
 
Signature:

Please print the following Registration Information and Mail with your $150 deposit to:

Jay O'Callahan • P.O. Box 1054 • Marshfield, MA 02050

Cancellation Policy : If you cancel your reservation before September 1st and we are able to fill your place,
we will refund all but $25. After September 1st we will refund all but $50 if we are able to fill our space.

Deposit : $150 required at the time of registration

Participants : Limited to 9 or 10 people

Place : Alice's House, Humarock Beach, Scituate, MA Phone 781-834-1220