Fill out and print this form, sign waiver, and fax or mail to address at bottom.
How Did You Hear About Us?
For Children & Teens under 18:
Billing Address (if different):
Class Choice: Write in class selection with level, day & time.
Tuition & Fees: W rite in your tuition amount and total. See the website for tuition for the program you are selecting, or speak to the Registrar. Include Youth Concert Fee (for Youth Program) or TCYE Materials Fee (for TCYE), and include appropriate Registration Fee. (No Registration Fee for Adult Classes or Weekend Tap Intensives)
1. Youth Tuition: $
3. TCYE Tuition:
4. TCYE Materials
5. Adult Class or Intensive:
6a. Youth Program Reg Fee: $40
Reg Fee: $50
Total = $
Full Amount is enclosed!
I would like the 3-Installment Payment Plan (Registrar will send a payment plan agreement and invoice. (For Youth & TCYE only)
I am applying for a scholarship
(For Youth & TCYE only)
Credit Card: (Mail or Fax)
Name on card:
Check or Money Order: ($US)
Make check payable to: American Tap Dance Foundation (ATDF) and mail it with this form to the address below.
Waiver: I (parents please sign for students under 18) hereby release the ATDF, instuctors, sponsors and all event locations from any and all claims or liability due to personal injury, loss or damage of property which I (or my child) may sustain as a result of participating in any activity connected with the ATDF.
______________________________________________ Signature and Date
Send to: American Tap Dance Foundation, 154 Christopher Street #2B, New York, NY 10014 Phone (646) 230-9564, Fax (646) 230-7777
Confirmation Notice: You will receive a confirmation notice by E-Mail. Click if you would prefer to receive hard copy via regular mail.
Please contact us if you don't receive your confirmation within two weeks.