Registration Form February 18, 2012 Parent or Advisor Information:

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Registration Form
Please use one form for each student registering
February 18, 2012
Parent or Advisor Information:
Name: ___________________________________ Cell Phone Number: _______________________________
Mailing Address: ___________________________________________________________________________
E-Mail: ___________________________________________________________________________________
Studio Name: _____________________________ E-Mail: __________________________________________
Student Information: *if more students are attending, please print off additional forms and send them in together
Registration includes:
4 Master Classes, Lunch, a T-Shirt and a Ticket to the InSync Spring Show for only $75 each student
Deadline to Include FREE t-shirt: February 3rd. Walk-in Registrations Welcome
Name: ___________________________________ T-Shirt Size: YS YM YL YXL S M L XL XXL
(circle one)
Age: _________ Years of Dance Study: _________
Workshop Schedule A or B (circle one)
Workshop Schedule A
Workshop Schedule B
10:30am Registration - Dow Center Lobby
11:00am-12:15pm: Tap Choreography 1
12:30pm - 1:00pm: Lunch - Phelps Hall
1:15 pm - 2:15 pm: Jazz Choreography 1
2:15 pm - 3:15 pm: Tap Choreography 2
3:30pm-4:30pm: Hip-Hop Choreography
4:45pm-5:30pm: Informal Presentation
5:30pm-6:00pm: The Life of a Dancer
10:30 a.m. Registration - Dow Center Lobby
11:00am-12:15pm: Jazz Choreography 1
12:30pm-1:00pm: Lunch - Phelps Hall
1:15pm-2:15pm: Contemporary Choreography
2:15pm-3:15pm: Jazz Choreography 2
3:30pm-4:30pm: Hip-Hop Choreography
4:45pm-5:30pm: Informal Presentation
5:30-6:00pm: The Life of a Dancer
Attending InSync Performance on: April 12, 13, 14 – 8:00 p.m. (circle one)
Payment:
Please send a check made out to InSync Dance Attn: InSync Dance – 168 East 13th – Holland, MI 49423
If you have additional questions please call 616.395.7700 or e-mail [email protected]
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