TU DANCE | Gaga/dancer Workshop
December 12-14, 2019

Daily Schedule
December 12: 4:00-6:00pm
December 13: 4:00-6:00pm
December 14: 10:00am-12:00pm

NEW STUDENTS: Please complete all information.
RETURNING STUDENTS: Please provide updated information if applicable.

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
STUDENT INFORMATION
Name *
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Address
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City
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State
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Zip Code
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Home Phone
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Cell Phone
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Email
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Date of Birth (mm/dd/yyyy)
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Age (at time of registration):
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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
If you are under 18 years of age, or if a parent/guardian is responsible for the payment of your tuition, please complete this section:
Parent/Guardian Name(s)
Your answer
Contact Phone(s)
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Email(s)
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EMERGENCY CONTACT
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 AND PAYMENT
Online pre-registration is required for the Gaga/dancer Workshop. Pre-registration can be completed online at www.tudance.org or in-person at TU Dance Center. Workshop payment can be made during the online pre-registration process at www.tudance.org, or at TU Dance Center by cash, check (made payable to TU Dance) or credit card.

Workshop payments are non-refundable once a session has started unless a workshop is cancelled by TU Dance due to low enrollment, in which case TU Dance will issue a credit or refund for the remaining cancelled classes.
Agreement *
Your Registration will be acknowledged with an email confirmation. By typing your name below and submitting this form, I 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. I am sending or have made full payment; or if I have requested alternate arrangements, I agree to complete payment by the agreed-upon due date. (PLEASE TYPE YOUR NAME BELOW to confirm your agreement.)
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