Registration Form |
| I would like to register for the following (please check): |
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Two Day Awareness Through Movement Intensive $180 per weekend |
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| Berkeley |
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Sat/Sun. |
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11 pm - 5 pm | |
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I would like to attend on the following dates: |
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Jan |
19-20 |
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March |
15-16 |
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May |
17-18 |
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Sept |
20-21 |
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Nov |
15-16 |
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Advanced Training and Mentoring Series: Optimal Moves for Musicians I $200
I am a certified practitioner- I am a 3rd or 4th year
student |
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Berkeley |
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Sat/Sun Oct 11-12 |
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12 pm - 6 pm |
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Optimal Moves for Musicians: A Worshop for Musicians & Music Educators, $200 |
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Berkeley |
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Sat/Sun Oct 4-5 |
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10 am - 5 pm |
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Neurological Conditions Series: Stroke and Dystonia, $200 June 21-22, 12:00 p.m. – 6 p.m. Berkeley, California |
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Working with Infants and Children, $200 Sat/Sun, October 25-26 11:00-5:00 pm, Berkeley, California |
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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® P.O. Box 8026 Berkeley, CA 94707 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:___________
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| Total Amount Enclosed________________ |
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| 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. |
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| Contact Mary for more information. |