Mary Spire
Mary Spire



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Registration Form

I would like to register for the following (please check):
____    One-Day Awareness Through Movement Intensive
$75
 
Marin/Berkeley     Sun.     1 pm - 5 pm
 
  I would like to attend on the following dates:
   
  ____ Jan 17
  ____ Feb 21
  ____ March 21
  ____ April 18
  ____ May 16
  ____ June 20
  ____ July 18
  ____ Aug 15
  ____ Sept 19
  ____ Oct 17
  ____ Nov 21
  ____ Dec 19


 

____   

Advanced Training and Mentoring Series:

"Viewing Moshe"
$75

 
Berkeley     Sun.     12:00 pm - 5 pm
 
  I would like to attend on the following dates:
   
  ____ Jan 31
  ____ March 14
  ____ June 13
  ____ Sept 12
  ____ Nov 14
       


____ Neurological Conditions Series: Stroke and Dystonia, $100 each day 
 February 27-28, 12:00 p.m. – 6 p.m. Berkeley, California
   
 


 

____

 Optimal Moves for Musicians I  $100 each day
I am a certified practitioner- I am a 3rd or 4th year  student

   
 ____ DC   TBA - Sept 2010   12 pm - 6 pm
 ____ Berkeley   Oct 21-22   12 pm - 6 pm
 

____ Working with Infants and Children, $100 each day
March 27-28,  12:00 pm - 6:00 pm, Berkeley, California
   

 


To pay by check or money order:
Print and complete this form, enclose your check or money order made payable to Mary Spire, and send it to:

 

Optimal Moves®
861 Creston Road
Berkeley, CA 94708
Fax : 510-528-3174

 

To pay using VISA/Mastercard:
Print and complete this form, including credit card number and expiration date, and fax or e-mail it to maryspire@optimalmoves.com.

 

Name:_________________________Phone # :_______________________

 

Address:______________________________________________________

 

City:___________________________State:______Zip:_________________

 

Visa/MasterCard # :_____________________________________________ Exp. Date:___________

 

 
Total Amount Enclosed________________
 
Pre-registration and advance payment required. Refunds given with 2-week cancellation notice, minus a $25.00 processing fee. Confirmation and further information will be sent upon receipt of registration.
 
Contact Mary for more information.





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