TMJ Summer Dance Residency Registration
Please complete this form to register for the 2020 TMJ Summer Dance Residency.

Please note that registration is not complete until the Family Investment is received. Upon completing this form, please return to our website to submit your Family Investment.
Email address *
Student Artist Name ( Last, First, MI) *
Student Artist Age *
Student Artist D.O.B. (55/55/5555) *
Student Artist Street Address *
Student Artist City *
Student Artist State *
Student Artist Zip Code *
Student Artist School District *
Student Artist School Name: *
Student Artist Grade Level *
Parent/Guardian Name (Last, First, MI) *
Parent Guardian Address (If Different From Student Artist)
Parent Guardian Email *
Parent Guardian Phone (555-555-555) *
Secondary Phone (555-555-555) *
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This form was created inside of Terrance M. Johnson Dance Project. Report Abuse