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Immerse Yourself In Movement!

New York City Summer Dance Intensive at Green Space

July 10 - 16, 2017

Registration Form

Name:

 

Full Address:

 

 

Preferred Phone:

Email:

Background (mark all that apply):

Dancer / Choreographer / Actor  / Director / Movement enthusiast

Needs help locating accommodation:

 Yes  /  No

 

Amount Enclosed:

 $450 by June 30 (postmark)  /   $500 from July 1

Make checks or money orders payable to Dance Entropy Inc.

 

Please print out this form and send it along with a check to:

Valerie Green/Dance Entropy Inc.

37-24 24th St. Suite 301

Long Island City, NY 11101

Dance Entropy reserves the right to cancel workshops that do not meet their minimum enrollment requirements or other extenuating factors. Full refund minus $50 processing fee can be issued by June 30th for pre-registered students. No refunds for students registering after June 30th.