1. NAME OF STUDENT ___________________________ AGE ____

2. SUMMER INTENSIVE WORKSHOPS

3. DESIRED WORKSHOP: circle one

      BEGINNER/ADVANCED BEGINNER  (3 DAYS, JULY 13, 15 & 17, 2009 - 10AM-12PM)

      NOVICE  (5 DAYS JULY  13,14, 15, 16 & 17, 2009 - 12:15PM-2:15PM)

     PRIZEWINNER/CHAMPION (5 DAYS JULY 13, 14, 15, 16 & 17 2009 2:30PM-4:30PM)

 4. PAYMENT CHECK YOUR EMAIL FOR DETAILS - Paypal payments MUST include 4% more for paypal convenience fee.