|
Armstrong/Bergeron Dance Company
Teacher Intensive
Registration Form
Participant’s Name:
______________________________________________________________
Circle one:
Male Female
Address:
_______________________________________________________________________
City: ___________ ______
State: __ Zip: __________________
E-Mail
_________________________________________________________________________
Home Phone:
________________________ Cell Phone: _____________________
Emergency Contact &
Phone #'s: __________________________________________________
Tuition: $100
Deposit:
$40 (non-refundable) to be turned in with registration no later than
May 11, 2009
Deadline:
Application and deposit will be accepted until May 11, 2009.
Balance of tuition must be paid by June 5, 2009. Pay by check or
cash.
Mail to:
Armstrong/Bergeron Dance Company
3709 Sweetbriar Drive
Bryan, TX 77802
|