|
WINTER/SPRING 2010 REGISTRATION FORM: |
Please print the attached registration form. Please note our registration policy:
All registration forms and payments must be received BEFORE attending the first class.
Classes other than the Support Group required registration by mailing this form with payment to:
MMSC, One Monterra Court, Rockville, MD 20850.
NO partial payments, please. Thank you.
All classes and groups take place at:
Temple Beth Ami, 14330 Travilah Road, Rockville, Maryland.
Space is limited and is based on a first come basis.
Name _________________________________________________
Address _________________________________________________
Phone home _____________ work _____________
Email _________________________________________________
Do you have MS? _____ If so, which type? _____________
Do you use an assistive device to move about? _________________
Classes begin on January 11, 2010.
Please indicate which of the following groups or classes you would like to register for:
Classes
| ___ Yoga: You Look Fine | Meets Weekly 9:30-10:30am Thursdays (1/14, 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/4, 3/11, 3/18, 3/25, NO CLASS 4/1, 4/8, 4/15, 4/22, 4/29, 5/6, 5/13, 5/20, 5/27) Fee: $190.00 |
| ___ Tai Chi | Meets Weekly 9:30-10:30am Mondays (1/11, NO CLASS 1/18, 1/25, 2/1, 2/8, NO CLASS 2/15, NO CLASS 2/22, 3/1, 3/8, 3/15, 3/22, NO CLASS 3/29, NO CLASS 4/5, 4/12, 4/19, 4/26, 5/3, 5/10, 5/17, 5/24) Fee: $225.00 |
| ___ Feldenkrais | Meets Weekly 10:15-11:15am Mondays (1/11, NO CLASS 1/18, 1/25, 2/1, 2/8, NO CLASS 2/15, 2/22, 3/1, NO CLASS 3/8, NO CLASS 3/15, 3/22, NO CLASS 3/29, NO CLASS 4/5, 4/12, NO CLASS 4/19, 4/26, 5/3, 5/10, 5/17, 5/24) Fee: $195.00 |
| ___ Therapeutic Yoga | Meets Weekly 5-6pm Mondays (1/11, NO CLASS 1/18, 1/25, 2/1, 2/8, NO CLASS 2/15, 2/22, 3/1, 3/8, 3/15, 3/22, NO CLASS 3/29, NO CLASS 4/5, 4/12, 4/19, 4/26, 5/3, NO CLASS 5/10, 5/17, 5/24) Fee: $225.00 |
Support Groups - No Fee
Please note: All support groups are continuous. If you have not registered for one yet, please do so before going. Otherwise, please consult the monthly calendar to ensure the date and time of your group.
| ___ General Support | Meets 10am-12pm on the 3rd Wednesday of each month (1/20, 2/17, 3/17, 4/21, 5/12 - PLEASE NOTE DATE CHANGE) |