Artwork by Kerstin Zettmar: www.zettmar.com		  

Rosen Method
Global Congress III
Registration

Global Congress, October 15-19
Leaders Conference, October 13-14

Please fill out the following form for one individual attending the Congress. After submitting the form, you will be taken to PayPal's web site for secure online payment with either a credit card or your PayPal account.


Contact Information (required fields are in bold type)
First Name
Last Name
Gender Female   Male
Street Address 1
Street Address 2
City
State/Province
ZIP/Postal Code
Country
Telephone Country Code outside US
City/Regional/Area Code
Home Phone
Work Phone
Mobile/Cell Phone
Fax
Email Address


Please indicate if you are:
Rosen Method Student
Rosen Method Intern
Rosen Method Bodywork Practitioner
Rosen Method Movement Teacher
Rosen Method Trainer
Other (Please state)


Transportation
Air travel information, if flying to New York: 
Arrival:  
Airline
 Flight #
 Date/Time
 Airport
Departure:  
Airline
 Flight #
 Date/Time
 Airport
Shuttles to Grand Central Station available at all airports. Trains hourly from Grand Central Station to Garrison.


Accommodations and Meals
Your accommodations choice:
  Global Congress
October 15-19
(Open to entire Rosen Method community worldwide)		 Leaders Conference
October 13-14
(Training Center leaders and Certified Teachers only)
Single room (register early) $850 $350
Double room $750 $300
Share a 3-4 person room $630 $250
Full participation without a room $520  
With whom do you want to share? Please list the name(s) here:
Any special dietary needs?
Can you bring a massage table with you? Yes   No
Can you bring a yoga mat with you? Yes   No


Marion Rosen Film Project
I would like to make a voluntary, tax-deductible contribution of:
$10 $25 $50 $100 $250 $500 $1000


Note: You only need to submit this form one time;
once you get to PayPal’s site, please follow their instructions for payment.