Registration Form

Name    
Address:  
City:  
State:   Zip:
Home Phone:  
Cell Phone:  
Email:  
Event / Class for which you are registering:
    Community Outreach Adult Classes
  Summer Dance Camp
  Special Events: Workshops, Master Classer, Dance & Dialogue
  Dance on Camera
  Performances at the Center
     
     
Specific Title / Name of Class or Event:
Date(s) of Event:  
Day / Time of Event:  
Cost/Payment if applicable:  
You will be confirmed for the class/event/camp as soon as your
payment and liability waiver are received where applicable.
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 (if applicable) along with a signed
liability waiver (for participants in classes, workshops and
dance camp) 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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