2017  level 1   RESIDENTIAL  APPLICATION

SUMMER PPN INTENSIVE with  myrna martin

Near Nelson, B.C.

June 26 - July 7, 2017

 [co-facilitators: kristin sipley, bonnie davis]

     august 21 - september 1, 2017

                                  [co-facilitators: Bonnie Davis, jenie taylor]

Name *
Name
Which Weeks are You Applying for? *
Do you have difficulty walking on uneven ground? *
This is important to know for determining where you will reside on the property.
May We Share Your Contact Information with Your Cohort to Assist with Arranging Travel? *
Is This Your First Time Working with Myrna or Are You a Returnee? *


PAYMENT INSTRUCTIONS

Please send your deposit of $500 to reserve your space.  
The remainder of the tuition ($1100) will be due one month before class begins.  
 Make cheques or money orders payable to Myrna Martin. 
Bank etransfers are to myrna@myrnamartin.net  
Click here for details about food and accommodations. 
Visa and MasterCard also accepted through PAYPAL    
Additional fees may apply.    

 Please call or email Myrna Martin for more details.

personal photo needed

Finally, please upload and email a recent photo of yourself to Myrna at: myrna@myrnamartin.net

Include your name and the Workshop Dates you are applying for.