REGISTER FOR SUMMER DANCE WORKSHOP

Please:
1. Fill out this form.
2. Email the information to us by clicking "submit".
3. Through email we will give you an address to send your check.
4. Cost of Workshop: $100 (t-shirt included)
5. EARLY REGISTRATION Deadline: July 18, 2008
(Early registration assures your spot and receive $5 off!)
5. Bring a friend - Two for $180

Your Name: *

Your Email: *

Your Home Address: *

Your Cell Phone Number: *

Emergency Contact: *

Injuries: *

Years of Dance/Modern Dance Experience: *

Age: *

T-shirt Size (unisex shirts) *

T-shirt Color *

How did you find out about the workshop? *

Will you be auditioning? *

Comments or Questions:

Thank you we will be in contact with you soon.