Registration Form

Please print out this form and mail (Sorry, no web based payment options), with your deposit to: The Encouragement Zone, P.O. Box 1045, Cedar Falls, IA 50613. If you have questions about any workshop or training, or you need additional information, please contact The Encouragement Zone (319) 266-0887 or e-mail tkottman@cfu.net.

A non-refundable deposit is required to register for Professional Training: $100 is required for a multi-day training.

A non-refundable deposit is required to register for Playshops for Women: $25 for 1 day and $100 for weekend retreats.

Please make all checks payable to Terry Kottman

NAME(s):

ADDRESS (please include street, city, state, and zipcode):

PHONE:

EMAIL:

Course

Title:

Course Start Date:

AMOUNT ENCLOSED:

Check payable to :

Terry Kottman

Print form and mail to:

The Encouragement Zone

PO Box 1045

Cedar Falls, IA 50613