/ REGISTRATION FORM
2011 TLS Annual Gathering
October 21-23, 2011
BestWesternKachinaLodge & MeetingCenter / OFFICE USE ONLY
Rec’d______
Proc’d______
ID #______
A separate form must be completed for each person registering. All funds are listed in and must be paid in US dollars.
YOUR CONTACT INFORMATION – please print
Last Name______First Name______MI______Title______
Phone Number (area code + number)______Email______
Mailing Address______City______
State______Zip or Postal Code______Country______
Name as you wish it to appear on your name tag______
MEMBERSHIP STATUS & OPTIONS
May we list your contact information on the Gathering Participants list?...... yes no
May we list your contact information in our on-line Membership Directory?...... yes no
Are you a Member of TLS?...... yes noTLS Member ID #______Renewal Date___/___/______
Do you belong to an organization that is a member of TLS?...... yes no
Organization Name (Four (4) people from each member organization are eligible to register for the Gathering at the member discount rate.)
______
MEMBERSHIP DUES - annual dues payment may be included with your Gathering RegistrationFill in and add
Individual membership...... $50$______
Individual discount membership ($5 off for two or more individuals residing at the same postal address)...... $45$______
Supporting membership...... $75$______
Household membership...... $130$______
Organization membership...... $130$______
Lifetime membership...... $1,250$______
GATHERING REGISTRATION - Registration includes conference fees only. Single ($69.99-$84.99 @ night) or double occupancy ($49.99 @ night) lodging arrangements at the Best Western Kachina Lodge (575-758-2275) or any other lodging arrangements are the responsibility of Gathering participants.
SOHL*Individual
Membership MembershipNon-Member
Early Bird Registration (thru July 31, 2011)...... $519...... $544...... $619 $______
Registration after July 31, 2010...... $619...... $644...... $719$______
*Supporting, Household, Organizational, or Lifetime Member
Meal Plan**...... $85...... $85...... $85 $______
**Includes Lunch on Friday, Saturday, and Sunday, and dinner on Friday and Saturday
Saturday-only Day Registration***...... $145...... $145...... $145 $______
***Includes entrance to all Saturday workshops, Saturday lunch and dinner, and Saturday evening events
Sub-Total Page One – please add amounts of all items you have selected: $
PRE- GATHERING WORKSHOPSFill in and add
Thursday, Oct 20, 1:00–7:00pm
“A Snapshot of Taos – A Photogenic Tour of Town & Mesa Labyrinths”
A photographer-led tour of 3 town labyrinths and a Taos Mesa private labyrinth with
sunset ceremony...... $70$
Thursday, Oct 20, 1:00–5:00pm, with Joan Guilfoyle
“First Step: A Body & Soul-Centered Transition into Gathering”
Let your body unwind and relax, and your whole being fully arrive for the Gathering...... $45$______
POST- GATHERING WORKSHOPS
Sunday, Oct 23, 1:30–8:00pm, “Santa Fe Stardreaming Tour”
A tour (includes transportation and light refreshments) of Stardreaming’s 13 labyrinth complex...... $80$______
Sunday, Oct 23, 2:00–8:00pm, “Musical Interludes on TaosTown Labyrinths” Tour
A tour of the Agricultural Arena – TLS member labyrinths plus three (3) additional public
labyrinths and an evening reception...... $75$______
Monday, Oct 24, 8:30am–7:00pm, “Ojo Caliente Hot SpringsTaos Gorge Labyrinths”
A tour of three (3) Rio Grande Gorge labyrinths with a Native American Blessing Ceremony
and an afternoon at Ojo Caliente Spa...... $90$______
Monday, Oct 24, 8:00am–1:15pm, “Mountain Views – TaosMountain Labyrinths”
A tour of three (3) labyrinths built up in the Sangre de Christo mountains...... $60$
Sub-Total Page Two (this page) – please add amounts of all items you have selected: $
Sub-Total from Page One (previous page): $
TOTAL$______
METHOD OF PAYMENT
Scholarship: a limited number of Gathering scholarships are available to TLS members - please contact Registrar
Check: payable to The Labyrinth Society, mail with this completed form to the address at the bottom of this page
VISA MasterCard #______Expiration Date (mm/yyyy)______
Name as it appears on your card______Phone______
Billing Address______City______
State______Zip or Postal Code______Country______
REFUND POLICY – Refunds are available: before September 1st - 100%, September 1st to October 1st - 50%, after October 1st - no refunds. No credit card refunds will be issued. All refunds will be paid by check in US funds.
MAIL REGISTRATION FORM AND PAYMENT TO:
Christiana Brinton, RegistrarEmail:
P.O. Box 736Phone: 607-387-5863
Trumansburg, NY, 14886,USAFax: 607-387-5214
On line Registration is available at
TLS Annual Gathering Registration Form ~ page 1 of 2