JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Medicine Drum Creation Workshop 5/22/22
Participant Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name:
*
Your answer
Phone Number:
*
Your answer
Method of payment: (Venmo and Credit Card option incur a processing fee of $5)
*
Cash/Check payable to Kimberly Nice dropped at Inner Peace and Wellness
Cash/Check payable to Kimberly Nice dropped with Kim Nice
Venmo @GentleArrowEnergyHealing
Credit Card Invoice through email
Medicine Drum hide choice:
*
Deer ($230)
Elk ($250)
Buffalo ($260)
The cost of the workshop is nonrefundable. You may, however, transfer/sell your materials/spot in class to another person. No-show to class results in forfeiture of all supplies and monies, due to perishable supplies and their costs.
*
I acknowledge/agree
Should this class be canceled by Kimberly Nice or Inner Peace and Wellness, a FULL refund will be issued to all registered/paid participants.
*
I acknowledge/agree
Payment in full is due at time of registration. Deadline for registration is Monday, April 25th, 2022 or when class reaches 10 participants.
*
I acknowledge/agree
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
