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 teacher would you like to have private lessons with? We will do our best to honor your request, depending on the demands of the schedule.
No preference
Susan Nowicki
Teresa Dybvig

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

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

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

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

Would you like to play in the Interpretation class on Monday morning?
No
Yes

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 have any dietary restrictions, please describe:

Would you like to join us for dinner at Bocelli's on Sunday, October 10?
No
Yes

Your Message (optional):