Your name:

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 July 11? Select one from each row:
Basic Movements
Shaping
No preference

Which clinics would you prefer to participate in on July 13? Select one from each row:

Would you like to schedule an extra Aston-Patterning session with Judy Huston? You will also have an opportunity to sign up for an extra session during the week.
No, thank you
Yes, 60 minutes, fee $65

Do you need to stay in university housing?
No
Yes

If you have any dietary restrictions, please describe:

Would you like to play in the Performance class on improving your concentration in performance (July 12)?
No
Yes

Your Message (optional):