About Us One Day Dance Workshops
    REGISTRATION
  
Registrant Info: 11/22/2017 10:15:38 PM EST
Studio or Independent Name:  
Address:  
City:      State:      Zip:    
Daytime Phone:   Evening Phone:   Fax:
Teacher/Studio Contact:   Email Address:    
Workshop Info:
Workshop:


 
Attendee Info:
SENIORS
Ages: 15+ - $125
TEENS
Ages: 12-14 - $125
JUNIORS
Ages: 8-11 - $125
WILD CHILD
Ages: 5-7 - $100
OBSERVERS
$25 ($30 at Door)
TEACHERS
$120
Studios with 30 or more paying students receive ONE FREE host hotel room on Saturday night
ONE FREE teacher for every 10 paid dancers
Payment Information:
 
Signature Authorization Info:
I,   , Parent or Guardian of the performer listed above, have read the following WILD Dance Intensive Documents:

WILD Dance Intensive Documents and Policies

By clicking the submit button below I acknowledge that I, the registrant, on behalf of the parties registered, authorize WILD the use of their images for advertising purposes. In addition, I understand that WILD, the directors, the convention site, hotel, faculty and staff are not liable for personal injuries, or loss of or damage to personal property. Each student may refuse to participate in any activity. Please inform instructors of any physical limitations you may have. If you have any doubts as to your physical abilities, please consult with your physician before participating.

*** REGISTRATION MUST BE PAID IN FULL BY THE WEDNESDAY BEFORE THE WORKSHOP ***
    

contact us

info@wildaboutdance.com | (937) 376-7777
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Wild Dance Intensive | 30 Kinsey Rd, Xenia, OH 45385