PRE-PROFESSIONAL REGISTRATION FORM | 2017 Spring Session
January 30 - June 11, 2017
17-week session (No classes April 3 - 16)

Mailing Address: PO Box 40405, Saint Paul, MN 55104
Location: 2121 University Avenue West, Saint Paul, MN 55114
education@tudance.org | (612) 605-1925 | www.tudance.org

Registration Deadline: January 27, 2017
Please complete all the information required.

Please indicate Level:
LEVEL 4 AND LEVEL 5 STUDENTS ONLY: Please select first and second preferences for elective classes. You will be enrolled in one elective class for each half of the session, so you will need to select a total of four options. We will do our best to accommodate your first choices. We ask that you please select different classes for each session.
Session One (1/30 - 4/2) First Choice:
Session One (1/30 - 4/2) Second Choice:
Session Two (4/17 - 6/4) First Choice:
Session Two (4/17 - 6/4) Second Choice:
STUDENT INFORMATION
Name:
Your answer
Address:
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
Cell Phone:
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Email Address:
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Date of Birth:
MM
/
DD
/
YYYY
Age (at the time of registration):
Your answer
Name of School (if applicable):
Your answer
Do you have a medical condition that we should be aware of?
If yes, please explain:
Your answer
How did you hear about TU Dance Center?
PARENT/GUARDIAN INFORMATION
Please fill out this section if student is under the age of 18.
Name:
Your answer
Contact Phone(s):
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Email(s):
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EMERGENCY CONTACT
Fill out this section if different than the Parent/Guardian information.
Name:
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Relationship to student:
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Home Phone:
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Cell Phone:
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TUITION & PAYMENT
A tuition deposit, along with a $35 registration fee for new students, is the minimum payment required for registration by January 27, 2017. All Balances are due in full by May 26, 2017 and can be made in multiple payments. Please contact education@tudance.org to inquire about payment plans. Tuition payments are non-refundable once a session has started.
New or Continuing Student:
Tuition Payment at Time of Registration
Please select one of the following:
Financial Aid and/or Payment Plan
Agreement
Your Registration will be acknowledged with an email confirmation. By typing your name below and submitting this form, you agree that TU Dance and TU Dance's teaching artists are not liable for any injuries sustained or illnesses contracted while attending classes at TU Dance Center and at other places designated by TU Dance Center staff or faculty. You are sending or have made full payment; or if you have requested alternate arrangements, you agree to complete payment by the agreed-upon due date. (PLEASE TYPE YOUR NAME BELOW to confirm your agreement.)
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