Virtuous Life

50702 Van Dyke Ave.
Shelby Township, MI 48317

ph: 586-991-0741
fax: 586-991-0742

Registration

The Virtuous Life Workshop will be held at

50702 Van Dyke Ave.

Shelby Township, MI 48317

586-991-0741

THE VIRTUES PROJECT™

WORKSHOP AND TRAINING REGISTRATION FORM

 

Name:___________________________________________________

 

Address:_________________________________________________

 

City/State:________________________________________________

 

Phone:_______________email_______________________________

 

Washington Area

 

____  March 6, 7, 2010

 

Cost: Members $35

 

Shelby Township Area

 

____ August 7, 8, 2010

 

Cost: Members  $20

 

+Offering     Limited to 25 people

 

Please indicate your area of interest: 

 

____ Education           Level  ________      

 

 

Department  _________________________     

 

____ Corporate Development

 

____  Organizational Leadership

 

____  Parenting

 

____ Volunteering/Mentoring/Caregiving

 

____  Other  ________________________________________________

 

Please share with us any specific needs/concerns that you are hoping we will address during this workshop: 

 

________________________________________________________________________

 

_______________________________________________________________________

 

Please indicate any special dietary or other special accommodations you require: 

 

________________________________________________________________________   

Please return this form with your payment in full to:

 

Tina Viviano

50702 Van Dyke Ave.

Shelby Township, MI 48317

 

 

Upon receipt we will send you a confirmation email to use as your receipt along with location,  directions, and other program details. 

 

 

Questions?  Email:  TinaV@virtuouslife.org  or  call Tina Viviano: 586-991-0741

!

Please print the registration form and send.

Tina Viviano

50702 Van Dyke Ave.

Shelby Township, MI 48317

If you have any questions, please contact me at TinaV@Virtuouslife.org or detroitcenter@sbcglobal.net

or 586-991-0741.

 

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50702 Van Dyke Ave.
Shelby Township, MI 48317

ph: 586-991-0741
fax: 586-991-0742