Registration Form Odyssey Dance Theatre Curriculum Name _______________________________ Presents Each day Junior students (ages 8-12) will receive four Address _____________________________ The 14th Annual classes in Jazz, Funk, and Rhythmic Stomp/Tap. Senior City ___________ State _______ Zip _______ students (ages 12-up) will have five classes consisting Phone __________________ Age _________ of Ballet, Jazz, Funk, Rhythmic Stomp/Tap and Lyrical Jazz. At the end of the week, students will showcase the Tuition choreography and skills they have developed during the workshop. Please note: if 12-year-old is intermediate/ Seniors 4 days $250 (Ages 12-up) advanced, register with Seniors; if beginning, register 1 day $75 with Juniors. Juniors 4 days $200 Admission (Ages 8-12) Dance 1 day $65 To register, fill out this form and mail it to: Please have your young 11537 Berryknoll Circle, Draper, UT 84020, contact Lunches 4 days dancer bring lunch and water Annie at:
[email protected], or Fax bottle each day. to 1-801-998-3445. Registration form and $75 non-re- Total Tuition fundable deposit are due by June 17, 2011; full payment Minus $75 deposit - $75.00 Utah! by July 1, 2011. included with this form *Wednesday, July 13 schedule: Balance Due • Registration: 7:30 to 8:30 a.m. (Please make checks payable to: Odyssey Dance Theatre) • Placement Class: 8:30 a.m. to 9:30 a.m. Credit Card Info • Juniors finish for day: 3:45 p.m. ❏ Mastercard ❏ Visa ❏ American Express • Seniors finish for day: 5:00 p.m. CARD NUMBER ________________________ Housing/Meals EXP. DATE ____________________________ Housing is available at the Hampton Inn, Lehi – Parent Email __________________________ Dance Thanksgiving Point, 3576 North Maple Loop, Lehi, UT 84043.