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“POISED FOR PARKINSON’S” COURSE TRAINING REGISTRATION

Charlotte NC (Mount Holly) - “POISED FOR PARKINSON’S” course training

THE POISE PROJECT ~ Monika Gross, Executive Director

Part of the "Alexander Technique for Parkinson's” Initiative

Date: July 13-18, 2019

Time: Sunday, Monday, Tuesday & Wednesday 10:00am-7:30pm; Thursday 10:00am-5:00pm

Location: Anatomywise studio, 115 N. Main Street, Suite 212, Mount Holly, NC 28120 (Charlotte NC area)

Cost: $750 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 Mount Holly! The studio where we are training is about 15 minutes from the Charlotte Douglas Airport.

Name

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Email Address

Address

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Address 2

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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

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.