Quilting Adventures, LLC
Fall Into Quilting Adventures 2009
Seminar Registration Form

Please complete this form online using the convenient data entry features.
Mail your completed forms in along with your check to secure your spot in the class (or classes).
Note: If the form doesn't work properly, please print the blank registration form and fill it in.

Participant Contact Information
Name:
Address:
City:		State:
Zipcode:		Country:
Telephone:	(Day)    (Night)
Email:
I have enclosed a check to reserve my class seat with::
Frieda Anderson   double occupancy ($650/class) with roomate: single occupancy ($785/class)
In case of emergencies, please let us know:
Food and medicinal allergies and or disabilities:
Emergency contact:
Emergency contact phone:

Quilting Adventures, LLC will not be responsible for any injury, loss or damage sustained by our students. By registering for the seminar, you agree not to make any claim against Quilting Adventures, LLC, its employees, volunteers or contractors.

Note: Click this reset button to clear the form to start over with a blank form.

When you have completed the form, print it (using File - Print in your browser). Then provide any necessary hand-written details, including signature and initials and mail the form with your payment to Quilting Adventures, LLC. at the address shown below.