Post-Summit Workshop REGISTRATION FORM 
North American Invitational Summit: Bonding and Attachment in the Family
 March-31, 2003—La Casa de Maria, Santa Barbara, California

Name 	Email _______________________
(Supplement for use by early registrants whose forms were incomplete)

Please indicate your choices for both the morning and afternoon sessions by ranking any that you would like to attend (use 1,2,3 etc.). You will be given your first choices except if a workshop does not fill (full refund if none that you’ve indicated are provided). See full descriptions on website: atlc.org.

Morning Workshops:
___ Suzanne Arms: Creating a Sustainable Life as an Agent of Change
___ Susan Campbell: Getting Real with Children and Teens (I)
___ Michel Odent: Can Humanity Survive Obstetrics?	
___ Sobonfu Some: Welcoming Our Spirit 	
___ Stan Tatkin: Toward a Model of Prevention 	
Afternoon Workshops: 
___ Wendy Anne McCarty: Being with Babies in Transformational Ways
___ Susan Campbell: Getting Real with Children and Teens  (Part II--requires Part I
___ Charlotte Peterson: Lessons from Around the World
___ Chief Sonne Reyna: Ceremonial Family Bonding
___ Barbara Wishingrad: The Rebozo Way of Life

$60 for morning/afternoon, $120 for both 	 $  	
Post Summit Facility/Room/Meals 
Please check each applicable and total:

__ $65 room Sunday OR 
__ $10 Monday day use fee

__ $15 Sunday dinner 
__ $10 Monday breakfast
__ $13 Monday lunch 

Total for Facility/Room/Meals	 $  	
Total Payment	 $ 	 
___ Check or money order (payable to aTLC) enclosed. 
___ Paid online with credit card via PayPal.
If you are unable to attend a workshop, please let us know as soon as possible. Since the number of participants at the summit is limited, there are no refunds unless someone is able to fill your space. Regardless, a $15 processing fee will be retained (unless we cancel all of your choices).  

SEND FORM TO:  	Alliance for Transforming the Lives of Children
	Donna Worden, Registrar	831-338-0818
	544 Debbie Court	Fax:  801-904-8032 (yes, it really is 801)	
Thank you!	Boulder Creek, CA 95006 	signup@atlc.org (for returning as a word 
Rev 1-18-03					processor document)