FULL CIRCLE RETREAT REGISTRATION FORM
(In Internet Explorer, simply click your "Print Button" – Or CLICK HERE for pdf format)
To Register: Print and mail the following registration form
along with a check or money order addressed and payable to:
Kathleen Grittner
P.O.Box 463
Viroqua, WI 54665
Name:
Address:
City:			State:		Zip:
Phone(s):			eMail:
Workshop Title:
Workshop Date(s):
Lodging at Full Circle Retreat		Calculate Registration Fees
		Workshop Fee:		$
Per Person/Per Night
House: $45.00 1 Night		Material Fee:		$
$35.00 each additional night
		Lodging Fee:		$
Tent: $25.00 per person/per night
		Total Enclosed:		$
	Check this box if you intend to arrange other lodging
	Please send me a list of accommodations in the area