Student’s Sex:
T-Shirt Size:
Pleas upload doctors note, copy of ID, and proof of medical insurance:

Are there any physical problems or pre-existing conditions that may prohibit or affect training? If yes, please describe briefly:
Are there any emotional problems or allergies that we should be aware of? If yes, please describe briefly:

Students must submit a physical examination form, completed by their Doctor, no later than May 1st, 2018. If we do not receive this form, you will not be allowed to participate and no refund will be provided.


Attending (check all that apply):
NYC Week 1 June 11 - 15NYC Week 2 June 18 - 22NYC Week 3 June 25 - 29NYC Week 4 July 2 - 6NYC Week 5 July 9 - 13Florence, Italy Week 6 July 16 - 20


You must agree to the:
(Click to Read)
Waiver and Release AgreementLimited Use Photo ReleaseTuition Refund Policy


I accept my invitation to participate in the New York Dance Project Summer Intensive Program. My signature below certifies that the information given on this registration form is complete and accurate. I understand that the New York Dance Project is not responsible for injuries that occur on its premises. The New York Dance Project maintains a policy of non-discrimination with regard to ethnic background, religion, race and sexual orientation.!

*Please Enter Student Name and Program

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