“My Body, Myself” Open Workshop Registration

Please use the form below to register for “My Body, Myself” Open Workshop

Name(Required)

Email(Required)

Cell Phone(Required)

Registration Options(Required)

“My Body, Myself” – Individual Working Space ($595)

“My Body, Myself” – Group Space ($475)

“My Body, Myself” – Student/Alumni Space ($300)

Lodging(Required)

No Lodging

Lodging ($170)

"My Body, Myself" Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Name

This field is for validation purposes and should be left unchanged.