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

Workshop Registration Form

Check your choices!

( ) Summer Workshop (Mind, Movement & Music): $570. NOTE: Please pay $50
deposit. The balance will be payable at start of workshop.
For UW credit, there is a separate registration fee of $180 plus a $35
registration fee. This is payable to UW on first day of workshop.

( ) Oct. 17, 2010 Workshop (Vocal Jazz and Piano Jazz Eurhythmics) See fees below

( ) Feb 26, 2011Workshop (Eurhythmics and Performance) See fees below

( ) Sharing Session (Sun, April 10, 2011 2:00 - 4:00pm) (Fee by Donation)

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.