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Collaborating With a Mission
Dance Therapy Seminar
Sunday August 19, 2007
Registration
Any questions?
Phone 401-952-2423
Email dreasdream@aol.com


Donate Online
Print out this form and mail with check
(made out to the Andrea Rizzo Foundation) to:
The Andrea Rizzo Foundation
10 East Beach Road #2
Charlestown, RI 02813

If you are also joining in the Walk For The Children, and have sponsors,
please use the Walk For The Children registration form


NAME: _________________________________________

PHONE: ________________________________________

EMAIL: _____________________________

MAILING ADDRESS:
Street (Please include street number or PO): _________________________________________________

City: ________________________ State: ______________ Zip: ___________


AFFILIATION: _______________________________________

REGISTRATION FEE - $30.00 per person

I will attend the 1pm dance therapy seminar. Enclosed is my $30.00 Registration Fee

The Foundation has applied for CEU's and PDP's for the seminar
There may be a charge for CEU's
Are you interested? Yes_____ No_____