Registration for 2008 Empowerment Institute

January 3–6, 2008 – Training at Delamater House, Rhinebeck, NY

(Training begins with dinner Thurs., Jan. 3rd and ends at 6 pm before dinner
Sun., Jan. 6th)

January 7–June 10, 2008 – Return home to implement Empowerment Project.

June 11–15, 2008 – Training at Delamater House

(Training begins with dinner Wed., June 11th and ends at 6 pm before dinner
Sun., June 15th)

To register complete the form below.
Please provide all relevant information before submitting the form.

Registration Information

Name:

Organization:

Title:

Address:

City:

State: Zip:

Phone:

Fax:

Email:

I only eat vegetarian meals.

Select Your Track:

Track One

Track Two

Track Three

Track Four

Track Five

Tuition:

Program tuition is $3,450 and includes program registration and materials for both trainings as well as support and coaching during the Empowerment Project.

Room and board at The Delamater Conference Center:
$1,580 for Single Room
$1,195 for Double Room
This includes lodging for seven nights (January and June sessions) as well as all meals during the two training sessions.

Checks and credit cards are accepted.

NOTE: A minimum of half payment for tuition and room and board is due upon registration. Full payment is due on or before December 1, 2007

1. Please indicate your tuition choice:

$3,450 Full tuition for registration

$1,725 Half tuition to reserve my registration

2. Please indicate your room choice:

$1,580 (Single Room)

$1,195 (Double Room)

3. Add tuition plus room amounts and enter in appropriate box below:

I will make half payment of now.

I will make full payment of now.

Method of Payment:

Credit Card

Click this button to enter credit card info on our secure page, then return to this form and click on "Submit Registration" to complete your registration process.

Check

I will pay by check payable to Empowerment Training Programs.

Register using this form and send check to:
Empowerment Training Programs
1649 Route 28A,
West Hurley, New York 12491

For questions and more information:
Empowerment Training Programs
1649 Route 28A,
West Hurley, New York 12491
845 331.1312
Fax: 845 331.3041
Email: laura@empowermenttraining.com