The Dalcroze School of the Rockies proudly presents

a Dalcroze Workshop with: Anne Farber, Diplôme Supérieur

Registration Form:

Name ________________________________________________________________________________________ Address: ____________________________________________________________________________________ Phone and email ______________________________________________________________________________ Dance and/or Musical Background_____________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Profession __________________________________________________________________________________ What to you hope to gain from this event: _______________________________________________________

Are you interested in 0.6 CEU Credits through the University of Colorado at Boulder? Yes/No If so, please bring an additional $20 on the workshop day to pay your CEU tuition (check or cash please).

Please send your completed Registration Form and check made out to THE COLORADO DALCROZE SOCIETY to the following address

The Dalcroze School of the Rockies C/O Dr. Bonnie Jacobi 433 Huntington Hills Dr. Fort Collins, CO 80525

Tuition Table Preregistration on or before March 7, 2013

Registration received after March 7, 2013

Pregistration for RMDSA members received on or

before March 7,, 2013 Students with Valid

Student ID $30 $45 $15

Adults $65 $80 $35