Please check here if you would like vegetarian meals:   YES ___    NO ___

Please list below the code # and title of the workshop you would like to attend. List two alternatives
(Example: O103 /The Love and Logic Classroom) Do not sign up for the same workshop you have previously taken,
unless it is an advanced level.

I have previously attended the John Muir Academy (please check the following)  YES ___    NO ___

Cost: John Muir Academy tuition fee:$350.00 (includes a nonrefundable $50.00 fee.) Registrations received after June 15, 2008, will be $375.00.  Registrations received seven days before the Academy OR on the first day of the Academy will be $400.00.  No refunds will be given for cancellations the week before the Academy or for "no shows." Fees includes workshop, tours, continental breakfasts, breaks and lunches.

 Applicant: Please make Registration checks payable to the John Muir Academy.Please complete this form and FAX to us at (608) 223-2159, and then mail with payment to John Muir Academy at P.O. Box 259412, Madison, WI 53725-9412. A Confirmation Packet will be sent two weeks before the start date of the Academy.

• Payment for graduate credits may be paid directly to Viterbo University or Edgewood College prior to the start of the Academy or paid on the first day of the Academy.
  
  Check to receive Viterbo University registration materials ___ or Edgewood College registration materials ___

To be completed by John Muir Academy