RIAT Clinic/Supervisory New Student Intake Form
Clinic:
RIAT clinic offers lessons by 3rd year student teachers, and certified teachers, during the school year at our Flatiron District location (25 West 26th Street, Suite 403 NYC, NY 10010) , and other satellite locations in Manhattan and Brooklyn. The clinic aims to provide support for those who would not be able to otherwise afford the full cost of private Alexander Technique lessons, especially those in the arts, care-taking and ministerial vocations, students and low-income service and support professions. There is a nominal sliding scale rate for lessons.

Supervisory:
RIAT also offers lessons by 3rd year student teachers under supervision. The lessons are the culmination of 3 years study on part of the trainee. Participants are asked to commit to attending 3 lessons, which will ideally take place once a week over three consecutive weeks, at a day and time arranged between you and the third year student. There is a nominal fee for supervisory lessons. You may pay with cash or check made payable to RIAT.

An effort will be made to pair you up with a 3rd year student or teacher who has similar interests to your own.

Looking forward to seeing you at RIAT!

First Name *
Your answer
Last Name *
Your answer
Email *
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Phone Number [xxx-xxx-xxxx] *
Your answer
Previous Alexander Technique experience, if any: *
Your answer
Occupation and interests: *
Your answer
Relevant medical history or medications you are taking: *
Your answer
Recent traumas or accidents: *
Your answer
Your age (optional):
Your answer
Why you are interested in the technique: *
Your answer
I am interested in having clinic lessons with third-year teacher trainees:
I am interested in having clinic lessons with certified teachers:
I am interested in having supervised lessons with third-year teacher trainees:
I am willing to travel to a satellite clinic location in other parts of Manhattan and/or Brooklyn:
How did you hear about RIAT? *
Your answer
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