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“POISED FOR PARKINSON’S” COURSE TRAINING WEEKEND REGISTRATION

Chapel Hill NC - POISED FOR PARKINSON’S course training weekend

THE POISE PROJECT ~ Monika Gross, Executive Director

Part of the "Alexander Technique for Parkinson's 2018-2019 International Year of Awareness" Initiative

Date: Friday, Saturday & Sunday, January 11, 12 & 13, 2019

Time: Friday 10:00am-6:00pm; Saturday 10:00am-6:00pm; Sunday 10:00am-4:00pm

Location: Robert & Pearl Seymour Center
2551 Homestead Road
Chapel Hill NC 27516 (MAP)

Cost: $500 AT Teachers only

Please fill out and submit this Registration Form.

Then in order to reserve your place, please make your check out to THE POISE PROJECT and mail it to: 5 Grove Garden Avenue, Candler NC 28715 or make your payment using the PayPal button below.

Thank you, and we look forward to seeing you in Chapel Hill!

Name

First Name

Last Name

Email Address

Address

Phone

Payment Options

You may pay with a credit or debit card through PayPal, or you may mail a check made out to The Poise Project to 5 Grove Garden Avenue, Candler NC 28715. Please indicate below which payment choice you are making, and if you choose to pay with PayPal, please submit your completed registration form first and then make your PayPal payment. If you need to make a different payment plan in order to attend, please let us know. Thank you!

Please check one:

AT Teacher

AT Trainee

Any Questions or other message?

Workshop and Images Waiver

I have read the Release and Waiver form and am indicating my agreement with it by checking the box. By submitting this form, I am indicating my agreement to this Release and Waiver.