Name:____________________________________________________________________________

Address:__________________________________________________________________________

__________________________________________________________________________________

Phone: _____________________________________


Email Address:_______________________________


Airport pickup from Charlottesville? Want carpooling information?


Enclosed is:  The deposit only of $50  (balance due by June 1st)

Tuition only of $350    Room/Board $485 (includes tax)

Room/Board and Tuition of $835

Commuters: $61/day includes the facility day rate, lunch and dinner

For more detailed information regarding the cost for children and how to lower the room and

      board cost, please visit the Course Details section on our Workshop page.

For those who don’t eat chicken, fish, wheat and dairy, alternatives can be provided.


Please list dietary needs ____________________________________________________________


_________________________________________________________________________________


Roommate request_________________________________________________________________


For questions concerning the workshop or registration, please contact:

janbaty7@gmail.com   (302) 368-5141

Print form and mail check payable to: 


Jan Baty

807 Kenyon Lane

Newark, Delaware 19711

Registration Form June 17-June 22, 2018