COACHING FOR COMMITMENT PUBLIC WORKSHOP
Pueblo, CO / USA
April 7-8, 2009
8:30 AM –5:30 PM (Both Days)

REGISTRATION FORM
Please fill out the following information (click in each area and type or print form and fill in legibly):	
Name:			
	(First)			                      (Last)	
Company/Organization: 		
Mailing/Shipping Address: 		
City:		State/Province:		Zip/Postal Code:		
		
Country (if not US): 		
*E-mail Address:		
Cell Phone:		
Emergency Contact:		
Emergency Contact Phone:		
* Used to communicate program information.  We do not sell e-mail addresses.

Please place an X in the appropriate boxes that follow:

REGISTRATION FEES 

X	2-Day Workshop			April 7-8, 2009		$500	

I would like to attend the Train-the-Trainer add-on, please call me! 

	1-Day Train the Trainer (T3)		 April 9, 2009		 	price based on observation options	

PAYMENT METHOD

	Business/Corporate Check (make checks payable to InsideOut Discovery, Inc.) - No personal checks, please.  We will invoice you.	
	
	Credit Card or Bank Account Transfer - by Pay Pal Only.  IOD will send a Pay Pal invoice requesting payment.  You will need a pay pal account for this option–setting one up is easy & free!  www.paypal.com	

Cancellation/Refund Policy:  If your cancellation is received before March 27th, you will be assessed a $250 cancellation fee.  The difference of your full payment minus the cancellation fee will be refunded to you after the workshop date.  For cancellations made on or after March 27th (including no-shows), no refunds will be issued.  Substitutions are allowed.

PRE-WORK
Part of the pre-work is to read the book: Coaching for Commitment (3rd Edition) and complete the Coaching Skills Inventory (CSI)-Self assessment.  Please check below if you do not already have a copy of the book and/or the CSI.  These will be mailed to you upon receipt of payment.

	Yes, please send me a copy of the C4C Book and CSI	
	Only send me a copy of the CSI, I have a copy of the C4C Book already*	
	I already have both the C4C Book and the CSI*	
*For pre-work only, you will receive a copy at the workshop.

Special Requests: please list any special needs (ADA) or special requests i.e. Vegetarian meals

RETURN REGISTRATION FORM
E-mail registration form to: Inquiry@insideoutdiscovery.com
Fax registration form to: 719.547.2982 or 866.925.6977
If paying by check: We will invoice you and provide a payment address.
Questions: Call 719.761.5226