Registration Form For Training

Registration Form Date of Workshop: _____________________________ Location of Workshop: __________________________ Participant Name _________________________________________ Mailing Address ________________________________________________________ ________________________________________________________ Contact Information Phone ___________________________________________________ Email ___________________________________________________ Any special dietary requirements ______________________________

Please include a deposit of $50.00 payable to GreyWolf Consulting LLC. Mail to: GreyWolf Consulting LLC 1615 Halibut Point Road #6 Sitka, AK 99835 The balance of $___ is due at the start of the workshop. Deposits are refundable until _____________________. Additional information about time and location will be sent on receipt of your deposit. We look forward to working with you. Thank you for your interest in improving services in your community. Iva GreyWolf 907-738-7604 (cell) 907-747-3453 (fax)