Please print out this form and send it to us to register for any of our workshops.

Workshop Registration Form

Check your choices!

( ) Nov 12, 2011 Workshop (Dalcroze Eurhythmics: Ideas Into Action, Action Into Ideas) See fees below

( ) March 11, 2012 Workshop (Potpourri of Movement) See fees below

Workshop Fees:

Adult Eurhythmics Classes - $60/four classes

Name ...................................................Phone............................

Address......................................................................................

City.......................................State..........Zip...............................

E-mail..........................................................................................

Level of Dalcroze Training: ( ) Beginner ( ) Intermediate ( ) Advanced

Make check payable to Dalcroze Society of America, NW Chapter
MAIL TO: Margaret Brink, 5220 Sandpoint Way NE #2, Seattle, WA 98105

To print this page for filling out and mailing click here.