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CHILDREN & TEEN PROGRAM 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 class(es):
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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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Cell Phone:
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Email Address:
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Date of Birth:
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Age (at the time of registration):
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Name of School (if applicable):
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Do you have a medical condition that we should be aware of?
If yes, please explain:
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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:
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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
Payment is due at the time of registration for Creative Movement/Drum, Intro to Dance, Ballet Barre, and Modern 13-16.

A $100 deposit is required for Boys, Bridge and Teen 1, along with a $35 registration fee for new students in Bridge and Teen 1 by the registration deadline, January 27, 2017. Full payment is due by May 26, 2017.

Please contact education@tudance.org to inquire about payment plans. Payment plan balances are due in full by May 26, 2017. Tuition payments are non-refundable once a session has started.

New or Continuing Student (only for those enrolled in Bridge and Teen 1):
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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