Skip to main content

Detroit Male Dance Summer Intensive

Registration Form

First Name
Last Name
Date of Birth
(MM/DD/YYYY)
Years of Dance Training
Street Address
City
State
ZIP Code
Cell Phone
Best Number At Which To Reach You
Parent/Guardian Name
Parent/Guardian's Phone Number
Emergency Contact Name
In addition to your parent/guardian, who should be contacted if there is an emergency?
Emergency Contact's Phone Number
I confirm that the information submitted in this form is true, accurate and complete.
  • McGregor Logo
  • MM Fisher Foundation
  • ESPN LISC Logo
  • BAFF Logo
  • Arts Midwest