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Feedback Form

Moves4Greatness Feedback and Info Request Form

In order that we may properly and effectively answer any questions that you may have regarding Moves4Greatness or Coordination Patterns™ and Training, or to register you for an upcoming workshop, please complete the following form. Required information is in red! Thank you for your time and patience in providing this necessary information. If you are signing up for a Coordination Patterns™ workshop, please makes sure to indicate the dates and location you plan on attending in the proper field.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

Please note: Your email address is required to contact you with information regarding Moves4Greatness and Coordination Patterns™ related information and to answer any questions you may have. Your email address will not be given to any other party. If you do not have an email address, any information requested will be sent via regular "snail" mail. Please make sure that you have supplied your complete address.

Coordination Patterns™ Training can have an impact on many aspects of life. From the following list please select the aspects that you want to learn more about. Please select all that apply:

Learning                                                                Business
Physical Practice                                                    Creativity
Improvisation                                                        Dance Education

Communication                                                      Culture

Family                                                                    Bodywork

Getting to know your full potential in movement

If you want to know more about how Moves4Greatness can help you and it is not listed above or elsewhere on our site, please submit your thoughts here.

Would you like to attend a Coordination Patterns™ Training workshop?

Yes
No

If yes above, what dates are you interested in attending?

Information submitted on this form will be addressed directly by Elizabeth Wetzig via email. Please make sure that your email address as provided is correct before clicking the submit button.

Before clicking on the submit button, please make sure that all required fields have been completed. If you want to clear all of your entries and start over, click on the "Reset Form" button. Note that if you click the "Reset Form" button, ALL entries will be cleared. If you only need to change one or two entries, click directly in each entry you want to change to make the changes.