VoiceCare Network Course Registration

Bodymind and Voice Course

Formerly Impact Course

Bozeman, Montana

Montana State University

Registration Deadline: 06/08/2018

Complete and submit the form below to register for the VoiceCare Network's Summer Course. This system walks you through paying either by check or credit card.

PAYING BY CHECK? If you plan to pay by check, please complete this online form. DO NOT print it off and handwrite your information. Once you submit this form, an option allows you to print an invoice which you mail with your check. Doing this enters your information in to our system, alerting us that you are registering. It also eliminates the need for us to manually enter your record.

* denotes required fields

First/Last Name:

* *

Gender:

Male Female *

Home Address:

City/State/Zip:

* * *

Phone:

Contact Email:

IMPORTANT: All correspondence is sent to this email account. Be sure to use one that you can access throughout the year. If you do not have an email address, please notify the VoiceCare Network so that we can communicate via mail.

Place of Employment:

Position:

Work Address:

City/State/Zip:

Phone:

Fax:

Work Email:

Accommodations Arrangements

Meals: Breakfast $8.00, Lunch $10.00 and Dinner $11.00. Buffet Style - Pay at the door.

Parking Per Day: $5.00 Pay at Onsite registration.

Share accommodations with:

Course Fees:

Course:			$575.00
Course Book:
	I need a book Shipping Method: USA Canada International I will be picking up the book		$135.00
	I have a book		$0.00
Other Materials:			$20.00
Accommodations:
	Option 1	Single Occupancy, Dorm Style (Bathroom down the hall) no meals	$200.00
	Option 2	Doubles, Dorm Style (Bathroom down the hall) (list roommate above) no meals	$165.00
	Option 3	Suites: Two Singles with private shared bathroom (list roommate above) no meals	$242.00
	Option 4	Suites: Two doubles with private shared bathroom (list roommates above) no meals	$242.00
	Option 5	No Housing Needed	$0.00

Academic Credit

I plan to register for academic credit. IMPORTANT:

Participants can register for four (4) graduate (semester) credits (MUSC 401-Section 01A) through Saint John's University at $90.00 per credit. Registration and payment for credit will take place during the first two days of the course. All participants, upon completion of the course, will receive a certificate for 53 hours of classroom work, which (like the academic credit) can be used toward teacher license re-certification and continuing education requirements.

Additional nights:

Suites will have two rooms, which can be two singles, or two doubles.

If you plan to arrive early or extend your stay beyond the course - contact Axel at info@voicecarenetwork.org or call: 320-363-3374

Cost for single with air conditioning: $35.00 per night

Number of Nights:

Dates needed:

Meals are not included with additional nights; however, they can be purchased on site. Cafeteria-style meal costs: Breakfast: $8.00 Lunch: $10.00 Dinner: $11.00

Payment Option:

	Full payment - I plan to pay the full amount due
	Deposit - I plan to pay the non-refundable registration fee of $200.00 with the balance payable 10 days before the course begins.
Payment Method: Check by mail Credit Card through PayPal *

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All prices are subject to possible minor changes.