Teacher Professional Development Retreat Application

To attend a Teacher Professional Development Retreat, download Teacher Professional Development Retreat Application and mail with a check to the host studio

Or, complete the form below and pay via PayPal

Workshop Host Studio*
Workshop Date mm/dd/yyyy*
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Number of Days Participating*
- Full Course
Terms and Conditions*
- I Agree
CUSA shall have the right to use the names, photographs, videos or other likeness of the student listed above and to exhibit the same through any medium for advertising, promotional or commercial purpose. All such reproductions shall be the exclusive property of CUSA, without compensation to the performer, family members and/or agents. By indicating "I agree", I have read and understood this photo/video release and agree to the conditions thereof.