Angeles Arrien                            Four-Fold Way^¨ Year-Long Programs

                2007 Registration

Please list your contact information exactly as you wish material to be sent to you.

Name___________________________________________________________________________________

Organization______________________________________________________________________________

Address_________________________________________________________________________________

City____________________________State_________Zip___________Country________________________

Phone (W)________________________(H)________________________Fax__________________________

E-mail_____________________________________ Occupation____________________________________

Referred by_________________________________

Emergency Contact: Name______________________________Phone_______________________________

                                                                                                    Fee           Deposit   Monthly  Quarterly

      _____Four-Fold Way¨ Year Long Foundation                 $1850        $   350     __$150                 __$375

      _____Four-Fold Way¨ Year Long In-Depth                    $1850        $   350     __$150                 __$375

I wish to pay in full the amount of ______$1850, or here is the necessary deposit of _____$350

to  hold my space.  Enclosed is my _____check or _____credit card.

Credit Card Information: Credit card payments will be surcharged 3% of the course fee.

MasterCard or Visa accepted. Please automatically charge my payment plan balance ______.       

Credit Card #__________________________Exp. Date_______Signature______________________

Payments: Upon receipt of your payment/deposit, you will be sent a confirmation letter. Invoices will be sent for all programs, or—if indicated—your credit card will be automatically charged.

The due dates for payment plans are the 10^th of each month starting January.

Cancellations:  If you notify us 30 days before the start of the program, we will refund your money, less a $50 processing fee. Refunds are not available for No Shows. For all other cancellations we will retain a $250 drop fee.

Statement of Personal Responsibility / Hold Harmless Clause

This program is for self-development and informational purposes only.  I declare I am responsible for my own actions during the program, and that neither the presenter/s nor the owners of the property where the seminar meets assumes responsibility for incidents or accidents to any individual.

Non-Disclosure Agreement / Proprietary Information

I recognize that the presenter/s will be sharing original research, curriculum design, and exercises during this program. I hereby agree not to publish any of that material, including experiential exercises, in any form––oral, written, audio or visual recordings––without specific written permission in advance.

I am in agreement with the above statements.

Signed by______________________________________

Angeles Arrien ¬ PO Box 2077 ¬ Sausalito, CA 94966 ¬ Phone: 415-331-5050 ¬ Fax: 415-331-5069

Four-Fold Way¨ Program

Foundation Year-Long

Pre-Course Questions

Name:________________________________________________________________

1.   What is your primary focus for wanting to study and work in this area?

2.   What do you consider to be your greatest strengths and challenges at this time?

3.   What spiritual practices or personal-growth areas have you studied or followed in the past?

4.   Are you currently under medical care or in therapy? If so, please specify.

Wilderness or Camping Experiences

          How often have you been camping?   [   ] Never    [   ] A few times    [   ] Often

2007 Four-Fold Way^¨ Program

Year-Long Foundation

SCHEDULE

The Foundation Program meets at 6:30 – 8:30pm, Tuesdays

DATES           

January 30

February 6, 20            

March 6, 20, 27

April 3, 10, 24

May 1, 8, 22, 29

June 5, 12, 26

September 4, 11, 18, 25

October 2

Weekend Wilderness Experience Dates:

Thursday, May 31^st at 4pm — Sunday, June 3 at 2:30pm       

Attendance

Attendance at all meetings is important to support your commitment to the personal and collective work, and no more than three meetings may be missed throughout the year.  The Wilderness Experience must be attended in order to deepen your personal work.

LOCATION

4000 Bridgeway #315, Sausalito, CA

Meetings will take place in the teaching room from January through October.

(See map on back)

PAYMENTS

The total cost of the program including deposit is $1850.

You may pay in full before classes start or choose a payment plan.

Our billing cycle is the 10^th of each month.

á      Quarterly payments are due: ($375, in January, April, June, September)

á      Monthly payments are due: ($150, January - October)

You will be invoiced according to your payment plan, or your credit card can be automatically charged beginning in January.

Cancellations

If you notify us 30 days before the start of the program, we will refund your money, less a $50 processing fee. Refunds are not available for No Shows. For all other cancellations we will retain a $250 drop fee.