Dance Educator's Coalition
Member Registration Form

Print this form, fill it out, and mail it with the $20.00 membership dues (payable to DEC) to:

            DEC
            1376 St. Clair Avenue
            St. Paul, Minnesota  55105-2335

Name:______________________________________________

Address:_________________________________________________

City_______________________________State_Minnesota__Zip__________

Phone: (____)____________

E-mail:_____________@_____________________

Where you teach:__________________________________

Education level(s) you've taught at: 

___Elementary

___Jr. High

___High School

___College

___Other

Comments: