Workshop Registration Workshop Name * Girl's Day Out Couple's Workshop Date of Event October 19 November 16 December 14 January 18 February 22 March 22 April 12 May 17 June 21 Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about the event? Websearch Facebook Instagram Website Professional referral Family/Friend Poster/Flyer Other Additional Attendee I'm bringing a friend to the event for $25 extra. Please complete name & email of friend below. 1 Friend Name of Friend First Name Last Name Email of Friend Agreement * I understand that I will be billed for $50, plus $25 for a friend if added, plus sales tax via square. I can also pay by check at the South Counseling office in Orem. I am aware that if I cancel, 50% is refundable 30 days before the event, 25% is refundable 15 days before the event, and anything after 15 days before the event is non-refundable. Agree Disagree Message Thank you!
