HGSA Institute

Registration Application for Spring Institute 2012

NOTE: Please do not include cabin request on the Registration Form.
Institute Cabin reservations must be made by calling Director of Education,
Rev. Julia Kyle, (818-719-6547) or email
.

Name: __________________________________________Phone: ______________

Address: ____________________________________________________________

City/State: _________________________________________Zip: ______________

Email Address: _______________________________________________________

You may take two classes during this Spring Institute.
One class from Track I <> Friday and Saturday evenings
and one class from Track II <> Saturday morning & afternoon

Track I ___________________________________________________________

Track II ___________________________________________________________

Registration Information and Fees:

Tuition:
$50.00 per class

Number of Classes________ Registration Fee____________ Tuition Total _______________

Payment: Check___ Credit Card___ Money Order___ Cash___ (not if registering by mail)

Credit Card Number _____________________________________ expiration date _______

Name of card holder ________________________________________________________

Visa___ Master Card ___

Signature ___________________________________________________________

Emergency Phone Contact ______________________________________________

Tuition is $50.00 per class. To register in person or for additional information, the Education Office
will be open Sunday after services April 15 and April 22, 2012. Partial refunds are available before
April 22, 2012 minus a $10.00 processing fee but no refunds after that date.

Payment must be included with application to complete registration.
When registering by mail you may print this form and send to HGSA
Attention: INSTITUTE REGISTRATION
.

Harmony Grove Spiritualist Association
2975 Washington Circle
Escondido, CA 92029
(760) 745-9176 ~ Fax (760) 745-3482