Workshop Registration Form

Please fill this form, then send to:
Patricia Sweeney, c.o. Spiral of Life
2335 S.E. Pine St.
Portland, OR. 97214
(503)233-3383

Name _____________________________________________

Address _________________________________

City_____________________State___________________Zip______________

Telephone #_______________________ E-mail ____________________

 

Check the course you would like to take:

 

___ Level One: Re-Thinking How we are Cared for at Death         $62  includes refreshments
  The Home Wake/Funeral Option

 

___Level Two: Re-Creating How we are Cared for at Death         $150  includes lunch on
Family, Community and the logistics and                             Saturday
Rituals of dignified meaningful home death care                                                               
                       
Check the date you would like to take your workshop

 

___February      ___2nd Sunday        ___4th Sunday    ___3rd weekend

___March          ___ 2nd Sunday       ___4th Sunday     ___3rd weekend    ­­­

___April           ____2nd Sunday       ___4th Sunday     ___3rd weekend

___May             ____2nd Sunday       ___4th Sunday      ___3rd weekend

 

Workshops limited to 8 people and are held at the above address
Please make checks payable to:  Patricia Sweeney