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.
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