Summer Session 2 Feldenkrais ATM Class Enrollment Form

Please print clearly

Name ____________________________________________________

Address __________________________________________________

City ________________________ State ______  ZIP _____________

Phone _________________Email _____________________________

I wish to enroll in the following Feldenkrais ATM series

 Tuesday evenings (5:30 to 6:30 pm) begins August 12

 Wednesday chair class (11 am to noon) begins August 13

 Wednesday evenings (6 to 7 pm) begins August 13

 Friday mornings (9:30 to 10:30 am) begins August 15

 Series Plus - I wish to enroll in the series I have checked above, and also attend another class of my choice each week.

 Series Unlimited - I wish to enroll in the series I have checked above, and also attend as many other classes as I like.

Make check for $25 payable ($35 for Series Plus, $45 for Series Unlimited) to Judith Dila and mail with enrollment form to:

Judith Dila

310 N. Ferry Street

Ludington, MI 49431