CASD  
a non-profit 501(c)(3)  
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Online Workshop Registration Form:

I would like to sign up for the following workshop:

Enclosed is my check number for $

I have read and understand the refund policy stated on the Workshop Registration Page (Initial here)

I understand that CASD, its officers, the operators of the venue, and the workshop presenter are not responsible for any lost, stolen, or damaged personal possessions, or any bodily injury I might sustain during this event.

Name

Street Address

City, State and Zip

Phone Number

e-Mail Address


________________________________________________________
Signature

Please make your check payable to CASD and mail it to the attention of Jackson Gray at the P.O. Box below:

CASD
Attn: Jackson Gray
PO Box 22524
San Diego, CA 92192-2524