CRAZY TIGER INSTITUTE
CLASSES
ADVANCED COURSES
CERTIFICATE
PORT ANGELES
CRAZY TIGER INSTITUTE
For the Cultivation of Living Systemic Understanding & Design
REGISTRATION FORM (Advanced Courses)
Course: 
Quarter: Summer 2008
Registrant (please print or type):Name:_________________________________________________________________________
Street Address:_______________________________________________________________
City, State, & Zip:___________________________________________________________
Country:______________________________________________________________________
Business Telephone:___________________________________________________________
Home Telephone:_______________________________________________________________
Email:________________________________________________________________________
_____ |
This is a new address and/or telephone number. |
_____ | I cannot participate this quarter, but please keep me informed of future activities. |
_____ |
On the back of this form, I have provided a name & address of someone who I think might appreciate hearing about your Institute events. |
_____ |
On the back of this form, I have listed courses or workshops I wish you would offer. |
_____ |
I would be interested in one-on-one mentoring. Call me to schedule an appointment. |
Please enclose a check for $1450, payable to Rodney Donaldson, and send to:
|
Dr. Rodney E. Donaldson |
Registration Deadline: Wednesday, June 25, 2008
(Late registration $150 extra) (No refunds after registration deadline.)