2013 SIX-WEEK SUmmER INTENsIVE REgIsTRATION FORm

Name: Address: Country: City: E-mail: State: Phone: Zip:

MARTHA GRAHAm SCHOOL OF CONTEmPORARY DANCE

Emergengy Contact Name:

Emergency Contact Phone: July 15-19 1 Week ($195) 2 Weeks ($270) 3 Weeks ($395) 4 Weeks ($520) 5 Weeks ($645) 6 Weeks ($770) July 22-26 July 29-Aug 2

WEEKS OF ENROLLMENt:
GRAHAM TECHNIQUE:
June 24-June 28 July 1-5 July 8-12

Level 1 (MF 9:0011:00) Level 2 (MF 11:00-1:00) Level 3* (MF 8:3010:30) Level 4* (M-F 10:30-12:30) *Attendance in these levels with permission only.

For Office Use Only

Session 1: June 24July 12 Session 2: July 15August 2 Beg./Int. (M,T, Th 1:303:00) Session 1 ($350) Adv. (T 3:00- 4:30; W, Th 1:453:15) Session 2 ($350) Mens Repertory (Session 2 only) ($350) (T 4:30 to 6:00; W 4:45 to 6:15; F 1:45 to 3:15) Choreographic Workshop: (Int./Adv only) ($350) (Session 1 only) (T 4:30 - 6:45; W 4:45 - 7:00)

REPERtORY WORKSHOP(S):

COMPOSItION:
M 3:00- 4:30. W, Th 3:15- 4:45

Session 1 ($350) Session 2 ($350) 1 day ($16 per week) 2 days ($32 per week) 1 day ($16 per week) 2 days ($32 per week) ($16)

BALLEt TECHNIQUE:

M 4:30 - 6:00; Th 4:45 6:15

GRAHAM OPEN CLASSES

M, W 6:30 to 8:00

COMMUNITY CLASS

M 6:30 to 8:00 at Westbeth

ScREENING of ARcHIVAL VIDEO with narrator Q&A

F June 28 3:15 to 4:15 F July 19 3:15 to 4:15

($10) ($10) ($10)

MEET THE ARTIST: A close encounter with a special guest artist

F July 26 3:15 Registration Fee (Required for all students) $50

Amount Enclosed $ Check#

PAYMENt

TOtAL DUE
Minimum $100 Deposit to hold space Balance Due Upon Arrival Visa MasterCard American Express (payable to Martha Graham School, Inc.) Credit Card:

Card # Exp. Date Billing Zip/Postal Code Signature Tuition is nonrefundable and nontransferable Waiver of Liability
I hereby agree that I will not hold the Martha Graham School of Contemporary Dance, Inc., members of the faculty, or any employees liable for injuries or illness of any kind contracted by me while a student of the Martha Graham School. Sign Here:

Please mail this form to 55 Bethune Street, New York, NY 10014 or fax to 212-838-0339.