REGISTRATION FORM

July 18th – 20th, 2008

Name________________________________________________________
Address______________________________________________________
City_________________________ Postal Code______________________
Telephone: Daytime_______________________ Evenings______________
Email address ____________________________
Fax # _______________________________________
Special needs: Dietary____________________________________
Special needs: Physical___________________________________

Please enclose your non-refundable registration fee of $150.00 payable to: “Casting For Life” no later than June 1, 2008.

Retreat expenses per person include: 2 nights accommodation, GST, gratuities, all meals, snacks, all bedding and towels, workshop fees and supplies which total approximately $1000.00. These expenses have been paid for you through several generous donations from our sponsors of Casting for Life.

Return registration form and cheque or money order to: Casting For Life
Please email Kim Blaikie to register: kimblaikie@shaw.ca