REGISTRATION FORM: Biodynamic Cranial Touch / Stillness Touch Initiatory Course
May 2-4, 2020 at Casa Micanopy
Micanopy, FL USA
Phone Number (country code & phone #)
Please indicate below if you have been invited to Assist ( A ); are Repeating this course as a student ( R ); or are using this course to re-Certify your BCT Practitioner status ( C ):
How did you hear about this course?
I have a Florida Massage License
I have a Massage License in another state
Mental Health Counselor
No Professional Licensure
Other (please specify in comments section below)
Florida Massage License # (if applicable)
Mail Deposit ($200)
Mail Full Payment ($600)
Mail Full Repeat Payment ($300)
Mail Other Amount ______________
Make Other Arrangement
Invited as Assistant
Comments (for anything you would like us to know, or any questions, etc)
Mary Reis lives in Gainesville, FL and organizes the course. Please direct any questions to her by phone / text at 352-246-6280 or
Making A Payment
Check is our preferred method of payment. A minimum deposit of $200 is due upon registration. Full payment is due by April 2, 2020. All checks (in US dollars drawn on US bank or US domestic money order) are to be made out to GIORGA MILNE and sent to: Mary Reis, 1744 NW 11th Road, Gainesville, FL 32605
It is very important that you do not delay your registration. Late registration appears as lack of interest for class and will result in classes being cancelled unnecessarily. Registrations cancelled with 21 or more days’ notice will be refunded less a $50 fee; no refunds for any reason within 21 days before class unless express and prior approval from both teacher and organizer. We reserve the right to cancel a class not meeting minimum participant requirements by 21 days before the class. We strongly advise confirming that the class has a minimum number of students registered before making nonrefundable travel reservations. If the class is cancelled for any reason, all class fees paid will be refunded in full.
Stillness: Biodynamic Cranial Practice and the Evolution of Consciousness by Charles Ridley.
Limited onsite lodging is available for $25 per night. Twin-sized beds in shared rooms are the only accommodations available. Contact Mary Reis at
to reserve a bed. Early reservations are encouraged as only 7 total beds are available!
A copy of your responses will be emailed to the address you provided.
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