Workshop Registration for: Felt-Ed’s 4 Day Felting Workshop, November 10th to 15th:

Workshop Registration for: Felt-Ed’s 4 Day Felting Workshop, November 10th to 15th:

Please print, then fill out this page. Mail this completed registration form to Felt-ED at the address below with a deposit check for $195 made out to Felt-ED to reserve your space. Should you need to cancel, this deposit is nonrefundable (unless you find a replacement for yourself). The balance of $350 is due on or before October 5th 2019 – nonrefundable (negotiable if you find a replacement for yourself). Please Mail to:

Felt-ED c/o Pamela Miller

1115 Mill St #21

Silverton, OR 97381

Registrant Name: _____________________________________________________

Mailing Address: _____________________________________________________

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Email: _______________________________________________

Home phone:__________________Cell:___________________

Please note any fragrance, nut or soap allergies here:

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Emergency contact: ____________________________________________________

Personal Liability and Indemnification Agreement: I take your safety and the security of your belongings very seriously, but I cannot be liable for any personal injury, loss/theft or damage any time during the Workshop. Your attendance constitutes your agreement to indemnify Pamela Miller and Felt-ED from any claim for injury, loss, or damage for any reason. Please note: You are responsible for any damage to retreat property, facilities, or equipment caused by you through negligence or willful intent. Please initial here: ___________