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NEW PERSPECTIVES


NEW PERSPECTIVES
PERFORMANCE ARTS SEMINAR
REGISTRATION FORM

FEES
(Lunch included)

Early Bird (post-marked by January 30)

Dance Alliance Members...$40.00
Non-Members.......$55.00

Regular registration (postmarked Jan 31-Feb 14)
Dance Alliance Members...$50.00
Non-Members.......$65.00

White Rabbit registration (after Feb 14)
Call 885-6073 before Feb 22 to determine if space is still available
Dance Alliance Members...$65.00
Non-Members.......$80.00


Make check payable to:
Dance Alliance
Mail to: Dance Alliance
Performance Medicine Seminar
PO Box 372
East Greenwich 02818
Any questions? Call 401-885-6073
or email hscheff@cox.net
PLEASE PRINT CLEARLY
NAME: _________________________________________

PHONE: Day______________________Night__________________

EMAIL:_______________________________

MAILING ADDRESS:

Street wt number or PO: ____________________________________________________

City: ________________________ State: ______________ Zip: ___________


SCHOOL/STUDIO/ORGANIZATION AFFILIATION (if any)
__________________________________________


___________ I am a current member of Dance Alliance

___________I would like to join Dance Alliance at this time (Optional)
(DA Membership fee is $30.00. Join now and come to the seminar at the applicable DA rates above)

Enclosed please find:
Dance Alliance membership fee (optional)

________________
Afternoon session
(Pick ONE)
I will attend:
____A Voice
____B Dance Injury
____C Instrumentalists
____D Stretch & Recognizing Overuse
Registration fee________________
Total enclosed
(Make check out to Dance Alliance
)
________________

This registration will print as two pages. Please staple them together and make sure your name is on both pages before submitting.