JUMP START JOY WORKSHOP REGISTRATION FORM 2018

Cape Milner Hotel, Tamboerskloof, Cape Town (5-6th October 2018)
 
Workshop Hours:
Friday  6:15pm - 10pm
Saturday 9:00 am – 6:00 pm

Investment:
R3000 for 2-day non-residential workshop which includes R1500 non-refundable deposit

Facilitator:
Dale Herink, who created this workshop, will facilitate it. Dale is a Certified Career and Life Coach, trained in the Hakomi Method of Psychotherapy; she also serves as a Weekend Leader for Woman Within Weekends around the world.

Only 20 spaces available!

* 1. Personal Information

* 2. Have you done the Woman Within training?

* 3. The Jump Start Joy Workshop is presented in English.

* 4. Do you live in the local area and can you provide housing to an out-of-town participant?

* 5. Do you have any food allergies or any specific dietary requirements?

Deposit / Payment Options

As numbers are limited it is essential to make payment early in order to secure your place.

Please note that the workshop may be cancelled up to two weeks prior to the workshop if enrollment is low and a full refund would then be provided.
Payment details:
R3000 for the 2-day non-residential workshop which includes R1500 non-refundable deposit.

Direct Deposits to be paid into the following account:

Account Name: Women for Afrika
Bank: ABSA
Account No: 4062350809
Branch No. 632005
Reference: Your surname and the letters 'JSJ'
To ensure you secure your registration, please complete this form and send your proof of payment to registrations@wfa.org.za

For queries, please e-mail Claire at: workshops@wfa.org.za

* 6. Please print your name below

* 7. Today's date:

Date
Enroll early! Space limited to 20 participants with proof of payment.

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