Palmetto Tap Intensive Registration Form

 
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Welcome to PTI! Join us July 13-15, 2018 for our 2 Annual Summer Intensive!

What is the Palmetto Tap Intensive?

Professional tap dancer/teacher/choreographer, Aaron Burr, has assembled a group of world-
class instructors for a weekend of non-stop TAP DANCE! This year’s event will be held at the
Academy of Dance and Fine Arts in North Myrtle Beach, SC. PTI is not affiliated with any one
studio and ALL are welcomed!

We provide a focused and intimate learning environment for tap dancers of all ages from
beginner to professional. Throughout the weekend there will be tap master classes, our faculty
show, scholarship giveaways, and more!

This is going to be an AWESOME weekend! I feel extremely fortunate to be able to bring

some amazing tap dancing back home. I hope to see you there!

Sincerely, -Aaron Burr, Founder/Director

REGISTRATION FORM to be completed, signed, and emailed to palmettotapintensive@gmail.com

Participant’s Last Name _________________________ First ____________________ Age _________

Home Studio ________________________________________________________________________

Street Address_______________________________________________________________________

City____________________________ State___ Zip _________ Phone (______)__________________

Email______________________________________@______________________________________

Level: (Circle One) BEGINEER-INTERMEDIATE / INTERMEDIATE-ADVANCED

AGES 8-12 AGES 12+
T-Shirt Size (please verify Adult or Youth S-XL) ____________________________________________
EARLY-BIRD REGISTRATION FEE (BEFORE 5/1/18): $200 (Includes two days of classes, faculty
showcase, and a free intensive T-Shirt)
REGISTRATION FEE: $225 (Includes two days of classes, faculty showcase, and a free intensive T-Shirt)
***After you have completed this form and emailed it to palmettotapintensive@gmail.com, you will
receive an email with an invoice for the event. Once you’ve completed the invoice and received your
confirmation email, YOU’RE ALL SET!***

Host studio: Academy of Dance and Fine Arts

304 Hwy 90E Unit D-1
Little River, SC 29566
(843) 663-5678

Please Read and Sign: As a participant in the Palmetto Tap Intensive (PTI), I hereby grant permission to
PTI the use of MY photo or video image for advertising purposes. I further release PTI, Aaron Burr, PTI
staff, faculty, and Host Studio from any and all claims for damages and injury of any kind resulting from
my participation in the above listed PTI event. The undersigned has read and agrees to be bound by this
indemnification and release. REFUNDS WILL NOT BE GRANTED.

Participant Signature (must be 18 to sign)_____________________________Date ___________

Parent/Guardian Signature (must be 18) ______________________________Date ___________

For  questions  about  registration  or  the  workshop,  go  to  palmettotapintensive.com  
or  contact  palmettotapintensive@gmail.com