WTIRegForm2008.html

A weekend of

Master Classes for adults, teens and children
Three-day Residency with Brenda Bufalino
New Tap Choreography Showcase
Winter Tap Off Contest
Tap Talks/Tap History
Plus Free Events

Phone (646) 230-9564
Fax (646) 230-7777

Title:
Student First Name:
Last Name:

Street Address:
City:
State:
Postal Code:
Country:
Home Phone:
Mobile:
Daytime Phone:

E-Mail Address:

Tap Teacher:

Dance Studio:

How did you hear about us?:

Please specify:

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


Age:

FRI FEB 15TH

12:30 - 2:30

FREE EVENT - Pre-registration required
Orientation at Gregory Hines Archive

4:00 - 7:00

3-Day Residency (adults age 14+)

Brenda Bufalino

Please note! Tech rehearsal for this conflicts with class M9 Kendrick Jones

	SAT FEB 16TH
10:00 - 11:30	M1 INT/ADV Barbara Duffy	3-Day Residency (adults age 14+) Brenda Bufalino
11:45 - 1:15	M2 INT/ADV Margaret Morrison	3-Day Residency (adults age 14+) Brenda Bufalino
1:30 - 3:00	Tap Talks / Tap Films with Constance Valis Hill FREE for all registered students
3:15 - 4:45	M3 INT/ADV Jared Grimes	M4 MIX Nicki Denner
5:00 - 6:30	M5 INT/ADV Mercedes Ellington	M6 ADV BEG Tony Waag

	SUN FEB 17TH
10:00 - 11:30	M7 ADV BEG Tony Waag	3-Day Residency (adults age 14+) Brenda Bufalino
11:45 - 1:15	M8 INT Derick K. Grant	3-Day Residency (adults age 14+) Brenda Bufalino
1:30 - 3:00	M9 INT/ADV Kendrick Jones	Y1 Youth Tap (ages 8-12) Tap Inprov - Derick K. Grant 1:30 - 2:45
3:15 - 4:15	M10 INT/ADV Parris Mann	Y2 Youth Tap (ages 10 - 12) DeWitt Fleming 3:00 - 4:15
3:00 - 4:00	M11 BASIC INTRO FREE! Thelma Goldberg

	MON FEB 18TH
10:00 - 11:30	M12 MIX Tony Waag

Fees & Payment Method


1.	Master Classes:
2.	Bufalino 3-day Residency:
3.	Winter Tap Off: No registration fee required
4.	New Tap Choreography: No registration fee required
5.	Both Shows (Winter Tap Off & New Tap Choreography) $25 before January 25!:
	Non-Refundable Registration Fee Non-Refundable Family Registration Fee	$20.00 $25.00
	Total = $	*Please include non-refundable registration fee for classes

Credit Card: (Mail or Fax)

Card Type:
Card #:
Exp. Date:
Name on card:

Check or Money Order: ($US)

Make check payable to: American Tap Dance Foundation (ATDF)

All students must sign this waiver. Parents please sign waiver for students under
18 years of age.
Registration cannot be processed without the following signed waiver.

Waiver: I hearby release the ATDF, instructors, sponsors and all event locations from any and all claims or liability due to personal injury or loss of property which I (or my child) may sustain as a result of participating in any activity connected with Winter Tap Intensive.

_____________________________________________________
Signature and Date

Confirmation Notice

You wil receive a confirmation notice once you have registered. Please contact us if you
don't receive your notice within two weeks.