To apply for this intensive, please submit a recent head & shoulder individual color photo (Emailing a jpeg would be great!) along with your completed registration form and either your deposit or payment-in-full. Please submit all items together at the time of application.
New Students Only: If this is your first intensive with Rosalyn and Ken, please provide the following additional typed information with your registration.
Name for ID Tag______________________________________
Emergency Contact Name__________________________________
Emergency Contact Phone #__________________________________
$1320 Early Bird Fee (due, in full, March 5.)
$1395 Regular Fee (due by April 4) -- However, you must pre-register to insure space.
$675 Deposit to hold space, balance due according to above dates
$270 Additional for single room, due with deposit
$25 Additional for gluten-free diet
# ______ payable to Jean Hollister and/or
CC#_________________________________ Ex. Date________ Sec. code________
I will bring a massage table.
All foods (chicken or fish option at all dinners)
dairy & eggs)
Gluten-free ($25 extra)
will arrive in time for 6 P.M. dinner on Tuesday.
Single (limited #)
(If you checked double and do not have a roommate preference, one will be provided for you.)
Via Mail: Please mail application materials and payment to:
Jean Hollister1105 Merlot CourtMoore, SC 29369
Credit Card Payments: For security if emailing your application, please call me at (864) 345-2460, or (513)284-1394, with your credit card number. If using a previously submitted credit card, just write the last 4 numbers only on your application. Please add the new expiration date and security code if it has changed. Thank you, Jean.
Jean at (864) 345-2460 or (513)284-1394, or email JeanHollister42@gmail.com.