Jacqueline Hansen Workshop Registration Form

Jacqueline Hansen at the 1840 House | Workshop Registration Form

Online Registration Form.

To register for a workshop, please complete the online registration form, print and send a copy with your registration fee. The form will be automatically sent to Jackye Hansen once you hit submit, but a $25.00 registration fee will be required before your spot is reserved.

Thank you and we look forward to seeing you in Kennebunk Beach, Maine!

Name:
Email Address:
Telephone
Mailing Address
City
State / Country
Postal Code
Which Session are you requesting:	October 27th - 31st, 2010 January 12th - 16th, 2011 April 18th - 22nd, 2011
Registration Fee:	$25.00 will be included with my mailed copy of application in order to reserve a spot.
I am requesting the following project:	"Waldoboro Bird & Nest" for $200.00 "Bird & Grapes" for $200.00
Deposit: I understand a deposit of $200.00 is payable for the requested workshop by the following date.	October 2010 Workshop - Deposit due by July 15th, '10 January 2011 Workshop - Deposit due by November 15th. '10 April 2011 Workshop -Deposit due by January 10th, '11
Lodging Preference:	Single Room: $367.82 Double Occupancy: $509.95
All fees are payable by check To: Jackye Hansen 237 Pine Point RoadScarborough, Maine 04074(207) 883-5403 Jackye will handle all hotel reservations directly with the Franciscan Guest House.