Contemplative Dance Workshops

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 Contemplative Dance, 24 O'Neil Road, Haydenville, MA 01039. Please make checks payable to Contemplative Dance. Thank you!

*First Name
Middle Initial
*Last Name
*Street
*City, State, Zip
*Phone number
Cell number
*Email Address
*Which week?	Week I (Basic) Week II (Advanced)
*Do you need on-campus housing? ($50 deposit required)	Yes No
*Do you need additional night(s) housing?	No Saturday prior Friday after Both Nights The extra nights cost $35/night/per person.
*How did you hear about us?
Tell us about yourself: Use all the space you need. What are some key themes in your personal and professional life?
*What brings you to the workshop? What are your reasons for taking it, what are your goals?
Week II Applicants: What previous experience do you have in Contemplative Dance or Authentic Movement?
Required Fields If you wish to pay by mail, make checks payable to Contemplative Dance. Thanks! Registration will not be complete until 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