Printed Registration Form

Class name ____________________________________________________________

Teacher's name _________________________________________________________

[   ]   I have enclosed the required $5 registration fee only,
        made out to the School of Sacred Paths.

[   ]  In addition to the $5 registration fee, I have enclosed a check,
        made to the teacher for the cost of the class.

Your name (please Print) __________________________________________________

Address _______________________________________________________________

E-Mail address _________________________________________________________

Phone number ________________________________

I understand that the registration fee is not refundable unless I attend and pay for the class, or the class is cancelled.

Signature ___________________________________ Date _________________

For Office Use Only

date payment initials

reg fee returned     kept date initials