Fluid a 5Rhythms® Workshop with Ann Kite
Bodiography Center for Movement - 5824 Forbes Avenue, Pittsburgh PA 15217

Saturday, April 13th - 3PM to 9PM
Sunday, April 14th - 12PM to 5PM

Exchange/Tuition
$235 ($205 if paid in full by 3/22)

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Emergency Contact - Name *
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This is my first 5Rhythms Workshop *
I am traveling from out of town to attend this workshop *
I am interested in housing with a local dancer ($10 per night - for private room/shared bath) *
Where did you hear about this workshop? *
I understand and agree that as in the case with any physical activity, the risk of injury is always present and cannot be eliminated. If I experience any discomfort, I will listen to my body, adjust my movements and ask for support from the facilitator. I will continue to breathe smoothly. I affirm that I alone am responsible to decide whether or not to participate in this practice. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Alyssa Jurewicz-Johns (organizer), the 5Rhythms® Organization and Bodiography Center for Movement. *
I understand that my registration for this workshop is complete upon my payment via PayPal to alyssa@adhawksolves.net - Using 'Friends and Family' option (this is to avoid additional processing fees and keep costs at a minimum to participants). DO NOT CLICK GOODS AND SERVICES OR ADDITIONAL FEES WILL BE CHARGED TO ACCOUNTS. Exchange/Tuition$235 ($205 if paid in full by 3/22). Participants will receive a confirmation email once tuition is paid. *
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