Student Application | UW-Madison Summer Dance Pre-Collegiate Invitational 2017
Please fill out this form and submit it no later than June 1, 2017. In order to secure your space, you must also fill out a Risk Statement, a Media Release Form and submit your fee payable to the UW-Madison Dance Department. See information on Fee and Forms below. The earlier you register, the more you save. Regular registration; $100 (payment no later than April 30, 2017). Late registration; $150 (payment ​between May 1, 2017 and June 1, 2017).
Name of your Studio
Your answer
Student Last Name
Your answer
Student First Name
Your answer
Student Address (Street address, City, State and Zip)
Your answer
Student Email Address
Your answer
Student Graduation Year
Your answer
Parent/Guardian Name (First and Last name)
Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email Address
Your answer
Fee and Forms
There is a registration fee for each student participating in this event.

Regular registration; $100 (payment no later than April 30, 2017).
Late registration; $150 (payment ​between May 1, 2017 and June 1, 2017).

Checks should be payable to: UW-Madison Dance Dept. Payment must be post-marked by the deadline.

You must also fill out a Risk Statement and a Media Release Form.

The Risk Form is online at: http://go.wisc.edu/t071k8

The Media Release Form can be found online at: http://go.wisc.edu/753r15

Send your payment, the Risk Form and the Media Release to: UW-Madison Dance Department, ATT: Kelly Kwiatkowski, 1050 University Avenue, 129 Lathrop Hall, Madison, WI 53706.

Please indicate that you will submit your payment and forms by checking the appropriate boxes below.
Note that option #3 is only available for dancers whose studio has won a choreographic award at the Midstates Festival.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Apps. Report Abuse - Terms of Service - Additional Terms