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Retreat Participant Registration Form

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Retreat Participant Registration Form Powered By Docstoc
					Berry Beading Retreat 4-7 March 2011
Participant Information

Name

Forum Nickname

Email

Mobile

Home Phone

Address

Emergency Contact                 Name:                                 Phone:

Transport to and
                                  Own Transport / Coach Sydney Airport return $50 approx (delete one)
from Berry
Special Dietary
Requirements

Massage $80 per hr                Yes / No (This service and cost to be confirmed. Just want to get an idea of interest).

Other

Payment                           Payment plan / $260 up front (delete one)



Workshops
Select     Preference        Code                                         Workshop
  X          (1-10)
                            SC1        Basic Beaded Cabochon Pendant – Nellie
                            SF1        Seed Bead Freeform Bracelet or Necklace with Lampies – Jan C
                            SF2        RAW Naughtiness – Chez
                            ER1        Embellished Ropes – Yvonne

                            PC1        Intro to Polymer Clay – Kazco
                            LW1        One-on-One Lampworking with Jan C

                            WC1        Meandering Weave Bezel – Tezza
                            BW1        Basic Wire Work - Katz
                            CM1        Berry with a Twist Chain Maille – Val
                            CW1        Charmed Watch - Nellie
As there are quite a few workshops on offer but limited time to undertake them so I would like to get an idea of who would
prefer which workshops. Therefore please put a number in the preference column rating your preferences from 1-10. It is
ok to change your mind up to one month prior to the workshop.




                   Alida Bunney - Aussie Beading Retreats - alida.bunney@yahoo.com.au

				
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