Registration Form

Please send this form with a check or money order to:
Deuxmensions Dance Theatre & School
4402 France Ave South
Minneapolis, MN 55410

Dancer's Name:
___________________________________________
Address:
___________________________________________
___________________________________________
City:
___________________________________________
State:
_________
Zip:
____________
Dancer's Age:
________ Dancer's
Birthdate:
_________________________
Home Phone:
___________________________________________
Emergency Phone:
___________________________________________
Email Address:  

   Name of Class    Day of Class    Time of Class
1.    
2.    
3.    
DDTS will notify parents/guardians in the event that a class reaches its capacity; otherwise confirmations will not be sent.  Please send or bring the registration fee & tuition to the address above.  I agree to follow policies outlined by DDTS in their student handbook (also found at deuxmensions.com).  I hereby release DDTS and its staff from any and all liability for injuries, illness or loss of property while at DDTS, during the participation of any classes/performances. Please call 952.926.7542 with any questions.
Parent/Guardian Name:
_______________________________________
Parent/Guardian Signature:
_______________________________________