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SUMMER 2008 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.
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 May 5, 2008.

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
(5/8, 5/15, 5/22, 5/29, 6/5, 6/12, 6/19, 6/26, NO CLASS 7/3, 7/10, 7/17, 7/24, 7/31, 8/7, 8/14, 8/21, 8/28)
Fee: $160.00
___ Tai Chi Meets Weekly 9:30-10:30am Mondays
(5/5, 5/12, 5/19, NO CLASS 5/26, 6/2, 6/9, 6/16, 6/23, 6/30, 7/7, 7/14, 7/21, 7/28, 8/4, 8/11, 8/18, 8/25)
Fee: $160.00
___ Feldenkrais Meets Weekly 10-11am Mondays
(5/5, 5/12, 5/19, NO CLASS 5/26, 6/2, 6/9, 6/16, 6/23, 6/30, 7/7, 7/14, 7/21, 7/28, 8/4, 8/11, 8/18, 8/25)
Fee: $150.00 *Fee includes 3 sessions in August, one class will be canceled, the date TBA
___ Therapeutic Yoga Meets 5-6pm Mondays
(5/5, 5/12, 5/19, NO CLASS 5/26, 6/2, 6/9, 6/16, 6/23, 6/30, NO CLASSES IN JULY, 8/4, 8/11, 8/18, 8/25)
Fee: $120.00

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

Montgomery Multiple Sclerosis Center, Inc. is a 501(c)(3) charitable organization.

©2000 Montgomery Multiple Sclerosis Center, Inc.
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