Your name:

Your telephone number:

Your email address:

(Please make sure there are no typos in your email address)

Your gender:
Female
Male

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
Technique Basics
Teaching Favorites

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

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 12?
No
Yes

Your Message (optional):