Registration Form

Name    
Address:  
City:  
State:   Zip:
Home Phone:  
Cell Phone:  
Email:  
Summer 2016  Dance Intensives (M-F)  for which you are registering:
   

Maria Loreta Celitan                                            Adv/Beginner Flamenco Dance and Repertory Intensive            July 11-15, 2016, 6-8pm Studio 114

  Roger Jeffrey                                                          Adv/Beginner Ballet and Contemporary Dance Intensive        July 11-15, 9am - 12:15pm, 2016, Studio 114
  Roger Jeffrey                                                        Intermediate Ballet and Contemporary Dance Intensive        July 18-22, 9am - 12:15pm, 2016, Studio 114
 

Maria Loreta Celitan                                              Adv/Beginner Latin Styles Dance Intensive                          July 18-22, 2016,  6-8pm, Studio 114

  Amy Yopp Sullivan                                                Adv/Beginner and Intermediate Dance Improvisation Intensive  July 18-22, 2016, 12:30-2:30pm, Studio 114
     
     
Specific Title of Class / Last Name of Teacher:
Date(s) of Event:  
Days M-F/Time of Event:  
Payment for Weekly Workshop:  
You will be confirmed for the class/event/camp as soon as your
payment and liability waiver are received.
If an event or course is closed or cancelled, you will be notified by
phone and email and your check returned in full.

To complete your registration, click on the submit button below,
then please mail your payment along with a signed liability waiver (required for participants in all classes) to:

Please Make Checks Payable to:
The Center for Dance, SBU
115-C Nassau Hall
Stony Brook University
Stony Brook, New York 11794-6240

     
     
Stony Brook University,  115-C Nassau Hall, Stony Brook, NY 11794-6240,  Phone: 631-632-7392
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