PROFESSIONAL DEVELOPMENT TRAINING DAY REGISTRATION

North LA - Professional Development Training Day

Adapting Alexander Technique for People Living with Parkinson's and their Care Partners

THE POISE PROJECT ~ Monika Gross, Executive Director

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

Date: Friday, April 27, 2018

Time: 9:30 AM - 7:30 PM

Location: Stevensons Ranch Library, 25950 The Old Road, Stevenson Ranch, CA 91381 (MAP)

Cost: $195 Teachers $150 Trainees

Please fill out and Submit this Registration Form.

Then in order to reserve your place, please make your payment using the PayPal button below, or make a check out to THE POISE PROJECT and mail it to: 59 Arlington Street, 2nd Floor, Asheville NC 28801

Thank you, and we look forward to seeing you in North LA!

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 59 Arlington Street, 2nd Floor, Asheville NC 28801. 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

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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.