Printable Registration Form

If you prefer to mail-in your Workshop Registration simply print this page and complete the below fields.

Mail completed form to Brenda J. Hayes, 123 East Main St., Fredonia, NY 14063

Name: ___________________________________________

Phone: ___________________________________________

Address: _________________________________________

Email: ___________________________________________

Check those you will be attending:

[___] Spring 2013: The Role of Caregiver: Keeping Ourselves Balanced

[___] Spring 2013: Becoming a More Positive Thinker

[___] Spring 2013: Empowering Ourselves to Reach Our Own Personal Best

Total $ ___________

You can also register by email or phone. Contact Brenda Hayes:

____