City	Select one... Chicago, IL (September 30, 2012) Columbus, OH (October 7, 2012) Miami, FL (October 14, 2012) Detroit, MI (October 21, 2012) Houston, TX (October 28, 2012) Ft. Worth, TX (November 4, 2012) St. Paul, MN (November 11, 2012) Des Moines, IA (November 18, 2012) Atlanta, GA (December 2, 2012) Syracuse, NY (December 9, 2012)

Studio
Your Title	Select one... Studio Director Studio Office Manager Parent Independent Dancer
First Name
Last Name
Address
City
State or Province	---
Zip
Country	---
Phone
Director Phone
Email

Teacher (19 & Over)		x $50.00 =	$0.00
Teen/Senior (13 & up)		x $125.00 =	$0.00
Junior (12 & under)		x $125.00 =	$0.00
Observer		x $10.00 =	$0.00
Tuition Total: $0.00

Teacher

(No Teacher attendees)

Teen/Senior

(No Teen/Senior attendees)

Junior

(No Junior attendees)

NOTE: Payment must be received within 7 days of registration. If payment is not received within 7 days, your registration will be deleted and you will not be entered.
Options	Credit Card or Check? CREDIT CARD CHECK