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1. Personal Information

First Name

Last Name

Preferred Pronouns

Email Address

Phone

Country

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Mailing Address

If one of the fields does not apply to you, please place a double dash (--).

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

At which school do you teach?

How did you find us?

Is there anything we should know ahead of time to help us to accommodate any special needs or impairments you might have?

Participation Type

Please indicate whether you will be staying on site as a resident or participating without accommodation.

Full Single Participation (for one participant)

Full Group Participation (for three educators from the same school)

Early Registration (if registering by September 15)

Participant Liability Waiver

By clicking yes in the box below you agree that you have carefully read the Participant Liability Waiver on this page, and understood that you are responsible for yourself and your actions in the Artist Residency Program.

Yes, I agree

No, I have concerns about this

The One-Pointed Mind Program: A 6-Week Program for Educators

Disclaimer: This program will run every Wednesday from October 15 through November 19, meeting weekly from 4:00 to 7:00 pm. Tuition for full participation is $950, with an early registration rate of $850 available for those who register by September 15. A group discount of 10 percent is offered for three educators from the same school, bringing the total to $2,565.