Mind Body Spirit Workshop Registration Form | Common Ground Center

Mind Body Spirit Workshop Registration Form

Secure credit card payments via PayPal

SIGN UP FOR MIND BODY SPIRIT WORKSHOPS OR PRINT THIS FORM AND MAIL WITH PAYMENT TO COMMON GROUND 14240 BAIRD ROAD, OBERLIN, OH 44074.

* = Required information

	PARTICIPANT INFORMATION
	*First Name			*Last Name
	*Address
	*City		*State			*Zip
	*Country
	Email Phone1 Phone2
	I have attended a Common Ground Workshop before. I would like to receive periodic email updates from Common Ground.
	CLASSES AND DATES Please list the classes and dates you would like to attend:
	PAYMENT INFORMATION Total cost of all classes you would like to attend: *Total Payment Due: $ (enter total due) We use Paypal for processing payments. Click the button below to enter your payment information. After your contribution has been processed a receipt will be sent to you via email. If you do not have an email address, please contact us if you want a receipt. A $25.00 service fee will be charged for cancelled registrations.