To register by mail, print this page and then mail the completed registration with payment to "Northern Virginia Ethical Society, Post Office Box 984, Vienna, VA, 22183." You will receive a confirming email message.

Parenting Beyond Belief Workshop with Dale McGowan
Saturday October 2, 2010 / 1:00 – 5:00pm

sponsored by:
Northern Virginia Ethical Society
Meeting At Green Hedges School
229 Nutley Street, N.W., Vienna, VA 22180

Register for the workshop:

First Name _______________

Last Name ______________________________

Email Address _________________________ 

Street Address ___________________________

_________________________________________

City ______________ State ___

Zip ___________ Telephone ________________

Full Name of 2nd Person (if registering as a couple)

______________________________ 

 If different:

   Email Address _________________________ 

   Telephone ________________

Children’s Names (+ ages):_____________________________________________

If children’s program requested, list any food/drink allergies.

$40 Individual ____ $60 Couple ____

(Members of Ethical Societies $30 individual____ $50 Couple ____)

Children’s Program Yes___ Children’s Program/snacks/drinks $5 per child / $15 maximum.
Number ____  Total $______

Total enclosed: $_________________

__ Put me on the NoVES newsletter mailing list, emailed 10 times per year.  Email address above.

__ Keep let me know about workshops, classes and similar events.  __Use email   __Use phone

__ I'd like more information about the Ethical Society.  Please contact me.   __Use email   __Use phone

Mail the completed registration with payment to "Northern Virginia Ethical Society, Post Office Box 984, Vienna, VA, 22183." You will receive a confirming email message.