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Youth Dance Program at Menomonee        |        Private Classes        |         Summer Intensive Workshop        |         School Programs
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Summer Dance Intensive
Registration


Video audition required at time of registration. The use of smart phones for recording is accepted. Please send a 2-3 minute self-choreographed excerpt using the form below. For larger files, a mailed DVD or flashdrive is also acceptable and can be mailed to Thodos Dance Chicago, 860 W. Blackhawk, Ste. 305, Chicago IL, 60642.

Applicant will be notified of acceptance within two weeks of receipt of registration and video audition.



Participant Information:

Name:
Street Address:
City: State: Zip:
Participant Phone (Cell):
Participant Phone (Home):
Participant Email Address:
Birthdate (dd/mm/yy):
Gender:

Dance Training:

Ballet (years): Modern (years):
Current Dance School
Current Teacher(s):
List one reference with their contact information (i.e. email & phone number):
List other summer intensives you have studied at and the year(s):
How did you hear about this audition?
Number of Registrants for June 16 - 21 Dance Intensive @ $550 $
Number of Registrants for August 4- 9 Dance Intensive @ $550 $
Total $

Cardholder Information:

Name:
Street Address:
City: State: Zip:
Phone (Day):
Phone (Evening):
Email Address:

Credit Card Information:

MasterCard, Visa, American Express and Discover accepted:
Name on Card:
Account Number:
Expiration Date (mm/yy):
CVV (3 digits):


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