BodySpeak™ ™ - The Avital Method

The International Summer Mime Workshop

Application/Registration Form

PRINT AND MAIL THIS FORM

Highly-Intensive, Interactive Workshops Where You'll Discover How Your Body Speaks, and Why People Respond Differently When You Communicate Through Movement.

"I think that Samuel's work is important. He brings awareness to the soul of people and gives
the young dedicated artists who work under his direction the need, dedication, and love
for the world of silence and the beautiful art of movement."
Marcel Marceau

WORKSHOP SCHEDULE:
JULY 7-11, 2008

TERMS:

Full Payment in U.S. Dollars ONLY by June 11, 2008.
Payments from outside US by Cashier's Check ONLY.

If you wish to pay by credit card, please call to:

Le Centre du Silence: (303) 661-9271

All fees MUST be paid to ensure reservation.

YOU CAN ALSO PRINT OUT THIS FORM AND MAIL TO:
BodySpeak™, P.O. Box 1015, Boulder, CO 80306-1015
Please make checks payable to: Le Centre du Silence.
For more information or phone registration, call (303) 661-9271.

You can fill out this form and submit it online or you can print it out and mail it.

Yes! I am very interested in attending the International BodySpeak™ Summer Mime Workshop.
Enclosed is my letter of inner motivation and my photo. Please send me the application form.
I will mail or call in my credit card information for the $250.00 deposit to secure my place in the workshop.

First Name
Last Name
Occupation
Phone
Address
City
State/Province
Zip/Postal Code
E-mail Address

PRINT AND MAIL THIS FORM
Workshop Questionnaire
Workshop Agreement
Workshop Page