Your name:

Your street address:

Your city and zip code:

Your telephone number:

Your email address:

(Please make sure there are no typos in your email address)

Which day do you want to attend?
Saturday, October 9
Sunday, October 10

Which teacher would you like to have your private lesson with? We cannot guarantee that you will have your lesson with this teacher, but we will do our best to honor your request, depending on the demands of the schedule.
No preference
Susan Nowicki
Teresa Dybvig

Would you like to schedule an extra 30-minute Alexander Technique session with Ariel Weiss?
No, thank you
Yes, 30 minutes, fee $45

Are you allergic to cats? If you answer "yes," we will contact you before you send in your deposit to let you know what we're doing to ensure that you breathe comfortably. We will keep your place in the queue until you determine that you will be able to attend.
No
Yes

If you are going to attend on Saturday only, please choose your Saturday clinic:

Which clinic would you prefer to participate in on Saturday?
No preference
Moving students' hands
Alignment and balance

If you are going to attend on Sunday only, please make the following three choices:

Sunday 1. Which clinic would you prefer to participate in on Sunday?
No preference
A beginner's first lessons
The thumb: a powerful force for good or ill

Sunday 2. Would you like one of your students to play in the teaching demonstration on Sunday afternoon? (There is no fee for the performer).
No
Yes

Sunday 3. Would you like to join us for dinner at Bocelli's (Sunday only)?
No
Yes

If you have any dietary restrictions, please describe:

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