Immerse Yourself In Movement!

New York City Summer Dance Intensive

July 5 – 11 2010

Registration Form

Please register now – SPACE IS LIMITED

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

Return this form with check to:

Valerie Green/Dance Entropy Inc.

37-24 24th St. Suite 301

Long Island City, NY 11101

*Please make checks payable to Dance Entropy Inc.

**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 30 for pre-registered students. No refunds for students registering after June 30.