Workshop Registration
and Secure Payment Form
Please pay with our convenient
shopping
cart, or you may also phone in your credit card number at (360)
606-1036.
If you would prefer to pay via
check or money order, please print a copy and mail to:
Bushcraft Northwest
PO Box 1274
Goldendale, WA 98620
PLEASE
READ: In
signing up for this/these workshops, you acknowledge and understand the
inherent danger of wilderness activities and/or the use of cutting tools
and will not hold Bushcraft Northwest nor its owner, Michael Lummio, responsible
for any damage and/or injury incurred during the workshop(s) or at any time
in the future. You also accept full responsibility for your actions should
your use of these skills cause damage and/or injury to yourself or others.
I accept and understand this waiver
Please list name
and date of workshop(s) for which you are registering:
Total payment amount:
Name, address, and
phone number:
Email address:
Questions
or comments (please note here if mailing payment):