Cucina con Mia: Spring 2006 Registration Form

Spring 2006 Registration Form

Please complete and print this form to register for our Spring 2006 classes
Deadline for Registration: March 24, 2006

1. Contact Information:
Name:	___________________________________________________
Street Address:	___________________________________________________
City, State & ZIP:	___________________________________________________
Home telephone:	___________________________________________________
Work telephone:	___________________________________________________
E-mail address:	___________________________________________________
2. Course Selection:
First choice:
____	Week 1: May 26 - June 1, 2006
____	Week 2: June 3 - June 9, 2006
Second choice:
____	Week 1: May 26 - June 1, 2006
____	Week 2: June 3 - June 9, 2006

Please enclose your $500 non-refundable deposit (check or money order)
as soon as possible.

and send by mail to:
Chef Mia Chambers
4096 Piedmont Avenue, #263
Oakland, CA 94611 USA

If, for any reason, Cucina con Mia needs to cancel a workshop, you will be notified two business days after the final tuition deadline, and your deposit and tuition will be refunded in full. However, the costs of any travel arrangements you may have made will not be reimbursed.