TAP CITY 2009

Registration Form

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Fill out and print this form, sign waiver, and fax or mail to address at bottom.


Personal Information

Title:
First:
Last : 
Street Address:
City:  
State:
Zip Code:
Country:
International
Postal Code:
E-Mail Address:
Home Phone:
Mobile:
Home Fax:
Dance Studio:
Teacher Name:
How Did You
Hear About Us?
Please Specify:

For Children & Teens under 18:
Birth Date:
Parent/Guardian (Name):

Adult Residencies (ages 15 - adult)
 

Monday 7/6  Tuesday 7/7  Wednesday 7/8 Thursday 7/9

4-Day Residencies w/ performance at Adult Showcase

9:45- 12:30

R1 ADV Michelle Dorrance

SOLD OUT!

R2 ADV BEG DeWitt Fleming, Jr.        SOLD OUT!
  Tap Talks / Tap Films (12:45 - 1:45)
 

Monday 7/6  Tuesday 7/7  Wednesday 7/8

3-Day Residencies w/ performance at Adult Showcase

2:00- 5:50 R3 ADV Derick K. Grant

R4 INT Pete Nugent Project

w/ Susan Hebach (2:00-4:00pm)

 


Adult 2-Day Courses (ages 15 - adult) & Master Classes (ages 12 - adult)

 

Friday 7/10

Saturday 7/11

Friday 7/10

Saturday 7/11

2-Day Courses

  

Master Classes

Master Classes

9:45-11:00

B1 ADV Brenda Bufalino

INTENSIVE

(9-11am)  

SOLD OUT!

A12 MIX

Max Pollak

M1 ADV

Michelle Dorrance

         

M5 MIX

Thelma Goldberg

 

11:15-12:30

A21 ADV

Barbara Duffy

A22 MIX

Jason Samuels Smith SOLD OUT!

M2 INT

Derick K. Grant

SOLD OUT!

M6 INT

Lisa LaTouche

SOLD OUT!

  Tap Talks / Tap Films (1:00 - 2:00)
2:30-3:45

A31 ADV

Dormeshia Sumbry Edwards

A32 INT

Randy Skinner

SOLD OUT!

M3 INT/ADV

Mercedes Ellington

M7 INT/ADV

Lynn Schwab

SOLD OUT!

4:00-5:15

A41 ADV

Harold Cromer

A42 ADV BEG

Jared Grimes

M4 INT

Germaine Salsberg

M8 INT/ADV

Carson Murphy


Pre-Professional Program (ages 13 - 19)

Monday 7/6 - Friday 7/10

All Inclusive Pre-Professional Program

Include PPP Application with Registration Form

Youth Repertory Program (ages 10 - 14)

Monday 7/6 - Friday 7/10

All Inclusive 5-Day Youth Program

Indicate t-shirt size:

Youth Mini Tap Fest (ages 6 - 14)

Monday 7/6 - Thursday 7/9

4-Day afternoon Program

Indicate t-shirt size:

Fees & Payment Method

(Package prices only available before June 5th. After June 5th use "a la carte" prices.

1. Adult Program Packages:
2. Adult Residencies
"a la carte":
3. Bufalino 2-Day Intensive (B1) "a la carte":
4. Adult 2-Day Courses
"a la carte":
5. Master Classes
"a la carte":
6. Pre-Professional Progam:
7. Youth Repertory Program:
8. Youth Mini Tap Fest:
     
 
Non-Refundable Registration Fee
 
Total = $
*Please include non-refundable
registration fee

Credit Card: (Mail or Fax)

Card Type: Visa, MasterCard, AmericanExpress
Card #:
Exp. Date:
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 hereby release Tony Waag, Tap City - The NYC Tap Festival, 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 NYC Tap Festival.

    _____________________________________________________
    Signature and Date

    All students must sign the waiver. Parents please sign waiver for students under age 18.

    Send to:  NYC Tap Festival, c/o American Tap Dance Foundation, 18 West 27th Street (6th Floor), New York, NY 10001 Phone (646) 230-9564, Fax (646) 230-7777

    Confirmation Notice:
    You will receive a confirmation notice by E-Mail.


    Click here if you would prefer receiving a hard copy via regular mail. (Scholarship notification will be sent by email only)


    Please contact us if you don't receive your confirmation within two weeks.