TSDC - Summer 2010
Dance Intensive Workshop
Ages 8-18  Levels 5 thru 12
Registration Form

Section 1. Parent & Child Information:   (Please PRINT clearly) 

Home Phone:  
Parent's
Last Name:
 
Mother's 
First Name: 
 

Father's
 First Name:

 
Street Address:  
City:  
State:  

Zip Code:

 
Email Address:  
Child's
First Name
 

Child's
Last Name 

 
Age  

DOB
(mm/dd/yy)

   /         /

Section 2: Place a check next to each workshop/day of workshop desired: 

 _____  Dance Intensive Workshop #1 August 16 thur 19
                    ____ All  4 days Monday thru Thursday - Cost $100

                    ____ Monday  August 16  - Cost $30

                    ____ Tuesday  August 17  - Cost $30

                    ____ Wednesday  August 18  - Cost $30

                    ____ Thursday  August 19  - Cost $30

 

 _____  Dance Intensive Workshop #2 August 23 thur 26
                    ____ All  4 days Monday thru Thursday - Cost $100

                    ____ Monday  August 23  - Cost $30

                    ____ Tuesday  August 24  - Cost $30

                    ____ Wednesday  August 25  - Cost $30

                    ____ Thursday  August 26  - Cost $30

 

Dance Intensive Workshop  - Registration Instructions

1. Complete Sections 1 & 2
2. Make payment in full to Tricia Sloan Dance Center
3. Mail to: Tricia Sloan Dance Center, 1 W. Mantua Ave. , Wenonah, NJ 08090