Name *
Address *
Phone *
Emergency Contact
Emergency Contact
Emergency Cell
Emergency Cell
Emergency Landline
Emergency Landline
Please note: While we cannot guarantee your first room choice, we can promise that students who prefer a single room will be guaranteed one. Rooms are listed from most expensive to the cheapest.
Please consider me for:

Please Note:

1) This workshop is for students 21 and over as alcohol will be served.

2) Your registration is not complete without your $250 deposit.

Please make your $250 check out to:

Whale Rock Workshops, LLC  

Mail your check to the following address:

Whale Rock Workshops
c/o Shari Becker
29 Addington Road
Brookline, MA 02445