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Resource 1 Sample Registration Form for Your High Hill Workshop

[Insert the name, address, email address, and phone number of the sponsoring organization or individual, e.g., your congregation's letterhead.]

Be yourself. Everyone else is taken. — PEANUTS, a comic strip

YES! I want to come! Please register me for the From the High Hill program. Enclosed you will find my information and a check for $ [insert amount].

NAME__________________________________________________

ADDRESS________________________________________________

CITY______________________________STATE______ZIP_______

PHONE_______________________ EMAIL ___________________________

NAME OF CONGREGATION______________________________________________

I HAVE THE FOLLOWING FOOD ALLERGIES/PREFERENCES. Please list:

 

 

I PREFER A (CHECK ONE): __ SINGLE [insert price] or __ DOUBLE [insert price]

I HAVE THE FOLLOWING SPECIAL NEEDS (MOBILITY IMPAIRMENT, HEARING LOSS, ETC.). Please list:

 

 

Please make your check for [amount of money due] payable to: [name of payee] and mail it to [address].

Thank you! We look forward to meeting you and to your participation. You will receive a packet a week to ten days prior to our start date.

If you have any questions, please call [name, phone number].

For more information contact religiouseducation@uua.org.