Contemplative Dance Workshops - Intro Registration Form

Registration will not be complete until a payment has been received.

Register and Pay Online
Please complete the form below. Once you Submit your Registration Form, a link will be available to go directly to the payment page. Thank you!

Register and Pay by Mail
Print and mail the form below to Alton Wasson, 24 O'Neil Road, Haydenville, MA 01039. Please make checks payable to Alton Wasson. Thank you!

*First Name
Middle Initial
*Last Name
*Street
*City, State, Zip
*Email Address
*Phone
Cell/Alt Phone
*What workshop are you registering for?	October 1, 2010,Moving Imagination, Contemplative Dance / Authentic Movement, (Intro), The Field Studio, New York, NY October 2 - 3, 2010, Workshop in Contemplative Dance / Authentic Movement (Experienced), The Field Studio, NY, NY October 8 -10, 2010,Workshop in Contemplative Dance / Authentic Movement (Experienced), Twin Cities, MN October 22 - 24, 2010,Weekend Intro Contemplative Dance / Authentic Movement Workshop, (Intro), St. John's, Newfoundland October 30 - 31, 2010, Workshop in Contemplative Dance / Authentic Movement, (Experienced), Portland, ME February 11 - 13, 2011, Intro to Contemplative Dance / Authentic Movement, (Intro), Austin, TX March 5, 2011, Moving Imagination, Contemplative Dance / Authentic Movement, (Intro) Genesis, Westfield, MA
*How did you hear about the workshop?
Please give us a few sentences about yourself. Required Fields
If you are registering for a workshop and wish to pay by mail, make checks payable to Alton Wasson. Thanks! Registration will not be complete until a payment has been received.

For information contact:Contemplative Dance, 24 O'Neil Road, Haydenville, MA 01039
Phone: 413-268-3294 - Email: cdance-at-contemplativedance.org