EmailMe Form - TK APPRENTICE PROGRAM APPLICATION

Please indicate date of the program that you are applying for. *

Name *

First Last

AGE *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

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How many years have you studied tap? *

3-4 years

4-6 years

6 or more years

Name of current teacher *

Teacher's Email Address *

Parent's name *

First Last

Parent's Email *

Parent's Contact *

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TAP EXPERIENCE INCLUDING PERFORMANCES *

VIDEO LINK
Please upload your video to a video sharing site (YouTube, Vimeo, etc.) and paste the public URL in box. *

APPLICATION FEE $30
PLEASE INCLUDE
PAYPAL TRANSACTION ID *

*

I AGREE

I agree to release the workshop producers, New York Stage Originals, the workshop teachers, staff, sites, studios and showcase theatre from any and all claims in the event of a personal injury, or property lost sustained during this event. I also authorize New York Stage Originals to use the participants image for Tap Kids advertising and promotional purposes.