Registration will be posted soon

 

 
113 Skyview Drive - Shrewsbury, PA 17361        717-542-5916 - Fax number 717-759-8049 - theheartbeatofdance@comcast.net

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
E-mail
• Must be 16 years of age or older to attend
as a teacher
• The Heartbeat of Dance is not responsible for participants
supervision, a chaperone 18 years or older is required.
• NO refunds on registration fee
• Only the registered/paid teachers or studio owners are allowed to
take classes. Observers are only allowed to watch.
• All students must dance in the room designated by their wristband
• Faculty is subject to change

 

I, , on behalf of the parties registered, give full permission to The Media Connection USA, Inc. to use their images for advertising purposes. Furthermore, I understand that The Media Connection USA, Inc., the directors, workshop site, hotel, staff, and faculty are not liable for personal injuries, or loss or damage of personal property. Students may at any time refuse to participate in any of the activity. Please inform teachers of any physical limitations you may have.

 

HOTEL INFORMATION

 

 

Large Group Discounts

1 -15 Students = 1 Free Teacher

16 -25 Students = 2 Free Teachers

26 - 40 =3 Free Teachers

41 and above contact the number above for more information

 

 

Location:

   Instructors

Lauren Gottlieb, Dominic Sandoval, Hokuto Konishi "Hok"

Jersey, Kenney Wormald, and Chio

Choose one of the following options:


Choose one of the following options:

 

If with group state the group name:

Please fill in the store you buy dance wear from:


 

 

 



Copyright © 2008 The Media Connection USA, Inc. All rights reserved.