Alexander Technique - 31st Summer Residential Workshop at Sweet Briar College
 
STUDENT QUESTIONNAIRE
• This form helps us to personalize your experience
 
 
Once you have registered for the workshop, a copy of this questionnaire will be included in the registration packet which you will receive in the mail. However, we are delighted to receive this information via online submission. If you wish, please complete this questionnaire; then submit it by clicking on the submit button below; or print it and fax it to the number at the bottom.

Please submit this form no later than June 15. This form helps us to organize homerooms, plan for exceptions and preferences, and give you the best possible learning experience we can!
 

Student Questionnaire

Name:

Email:

 

 


Which week(s) are you attending:
  

Age Range:
 under 18 | 18-25 | 26-35 | 36-45 |
46-55 | 56-65 | over 65)
Profession / Area of Study:

Previous study of the Alexander Technique (please be specific so we may place you in an appropriate group):
Are you are you an AT teacher?:
    Yr Certified:

Are you an AT teacher trainee?
  Years completed? |0 |1 |2 |3 |uncheck
School:

Other areas of interest, such as fine arts, performance arts, athletics, martial arts, etc.:
You will be assigned a homeroom teacher and class, with whom you will meet every day. Homerooms are organized according to your level of experience with the Alexander Technique.

You will also receive 3 private lessons throughout the week. If you have teacher requests for the private lessons, please list them here. We will try our best to honor your request:
Please add any additional information or special requests that would aid us in understanding your situation, placing you in a particular class or dorm room, addressing health concerns (injuries or illnesses), etc.:
If you are not driving, please list your travel plans below.(To arrange to be picked up at the Lynchburg airport by the Sweet Briar College van, please call Nancy Herr at Sweet Briar College, (800-381-6145.)
Arrival Date & Time: a.m. / p.m.:
Arrival Airline (bus or train) & Flight No.:

Departure Date & Time: a.m. / p.m.:
Departure Airline (bus or train) & Flight No.:

If you plan to arrive early or late, please tell use what your plans are:
Please tell us how you found out about the conference:
| |
| Online Search | Another Website
Other (please tell us)


Please note: Cancellations received by email or in writing and postmarked on or before June 2, will receive a refund minus a $75 processing fee. For cancellations made after June 2, the $500 deposit is non-refundable. No refunds can be given for cancellations received after June 22.
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Please feel free to contact us for more information:

 E-mail: 'info@alextech-sweetbriar.com'

 A.T. SWEET BRIAR
Ian Kleiman - Registrar
2041 14-Mile Rd NE
Sparta, MI 49345

toll free : 1.800.295.9296
1.616.784.5720
Fax: 1.206.339.6874

A printed brochure will be sent to you upon request

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