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. |