>DISTANCE LEARNING
COURSE REGISTRATION
Name:
Address:
City, State, ZIP:
Phone:
E-mail (please provide your personal email address as well as your school/work email address):
Profession/Organization:
Dance Experience:
How did
you learn about our distance learning course:
Are you
taking this course for college credit / independent study:
Name of the university/college:
Advisor and contact information (email and phone number):
Or other reasons:
Please enroll me in the following distance learning course:
____
Elementary $750
____ Intermediate $750
Please
email completed form and payment to:
Dance
Notation Bureau
178 E 109th Street, Suite 5
New York, NY 10029
dnbinfo@dancenotation.org
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