WORKSHOP REGISTRATION

Registration for the Intelligent, Injury-Free Dance workshop is available online. Please note: Payment by Check is the only method accepted for payment. Please provide the information below. Items marked with an asterisk (*) are required.

Full Name *


Mailing Address, City, State and ZIP Code *


Telephone *


E-mail Address *


What forms/techniques of dance do you teach?


How many years have you been teaching?


Would you like a Functional Integration® lesson? (additional fee of $85)   YES   NO

Would you like to share housing?
YES   NO

Would you like to share a car?
YES   NO

Would you like vegetarian lunches?
YES   NO

If you have any special interests, or dietary needs, please indicate here. Feel free to use this area to provide a brief explanation of why you would like to attend the workshop, or for any other questions or comments you might have...


Please Select a Payment Option...
PAY IN FULL NOW, $775
PAY $200 DEPOSIT ONLY
Full balance is due by July 1, 2011


A refund minus $75.00 registration fee will be given in the event of cancellation.





WELCOME

ANNUAL WEEKLONG WORKSHOP FOR A HEALTHY DANCEWORLD

OTHER CLASSES & WORKSHOPS

MOSHE FELDENKRAIS, D.Sc.

PRISCA WINSLOW

GUEST TEACHING

IN THE NEWS

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If you prefer, you may choose to download a printable Registration Form. Completed Registration Forms can be mailed with payment by check.

REGISTRATION FORM (PDF)
Click here to download
the printable form now (128K).


If you are experiencing problems with the PDF version, or do not have Adobe Acrobat Reader installed, click here to print the non-PDF form out now (a new window will open).


Prisca Winslow
PO Box 2714
Taos, New Mexico 87571
phone 575.779.7169
email info@moveintobalance.com



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The terms Feldenkrais®, Feldenkrais Method®, Awareness Through Movement®, Functional Integration®, and the Feldenkrais® logo are registered service marks of the FELDENKRAIS GUILD® of North America. Guild Certified Feldenkrais Teacher(SM) and Guild Cerified Feldenkrais Practitioner(SM) are certification marks of the FELDENKRAIS GUILD® of North America.