registration form – daylong, come to your senses
TRANSCRIPT
RegistrationForm–Daylong,CometoYourSensesWithPeterWilliamsSaturday,March9,20198:45am–5:30pmColumbineSpiritualCenter,8900ArapahoeRd.,Boulder,COPleaseprintandfilloutthisformbeforehandandbringitwithpaymenttotheretreat.Yourcontributionamount(Suggestedis$70):Check Cash ThesuggesteddonationcoversretreatexpensesandsupportsPeter’steaching.Itisaguideline.Givenyourfinances,youmayneedtogivelessorwanttogivemore.Thankyousomuchinadvance!
Name: Phone: Address: Email(ifyoudidnotemailPeterthatyouwerecoming): Emergencycontactnameandphone(s): ParticipantWaiver:IunderstandthatIamwhollyresponsibleformyhealthandsafetyforthedurationoftheretreat,fromitsadventtoclose,andherebyholdharmlessPeterWilliams,whoistheretreatOrganizerandColumbineSpiritualCenter,whoistheOwneroftheretreatvenue,fromanyliabilitywhatsoeverresultingfrommyparticipation.IagreenottoholdtheOrganizerorOwnerresponsibleorliableintheeventofanyaccident,illness(mentalorphysical),lossofpersonalbelongings,physicalinjuryoremotionaldistressresultingfrommyparticipationinthisretreat.IunderstandthatIamfullyresponsibleforobtaininganynecessarymedicaltreatmentshouldanyaccident,illnessordiscomfortariseontheretreat.Signature: Date: