EmailMe Form - TITN 2019: Advanced Registration

Audition Video Link
Please copy and paste the link to your uploaded video. We recommend uploading to YouTube and creating a private link to share with us.

Video submission is NOT required. However, if you are questioning how advanced the intensive is, we can give you feedback and help place you accordingly if you submit a video.
Dancer First Name *
Dancer Last Name *
Parent or Guardian First Name
*Required if under 18 years of age.
Parent or Guardian Last Name
*Required if under 18 years of age.
Birthday *
MM / DD / YYYY
Dancer's Age *
Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Primary Phone *
### - ### - ####
Secondary Phone
### - ### - ####
Email *

Confirm
T-Shirt Size *
How did you hear about us? *
Return Attendee
ASH Convention
Hollywood Vibe Convention
Dance Genius
Instagram
Facebook
Other
Event(s) Attending *
Minneapolis, MN (7/19-7/21)
Dallas, TX (8/16-8/18)
Columbus, OH (8/23-8/25)
Central Texas, TX (9/13-9/15)
Cleveland, OH (9/20-9/22)
Portland, OR (10/4-10/6)
SF/SAC, CA (10/11-10/13)
Atlanta, GA (10/18-10/20)
Denver, CO (10/25-10/27)
Select multiple options if you're planning on attending more than one event.
Have you been awarded a TITN scholarship? *
No
Yes
If YES...please make sure to tell us where and when you received the scholarship in the "Message/Comments" at the end of this form. Please include the value of your particular scholarship or discount so that we can apply it accurately.
Tap Training *
How many years has the participant been training in tap dance?
Home Studio Name
If you are not affiliated with a home studio, please write "Independent"
Tap Instructor Name
Who is your primary tap instructor? Only one name is necessary. Not required if you're not affiliated with a home studio.
Signature Name *
First Last
Participant signature. If the participant is under 18yrs, then a legal parent or guardian must sign.
Medical Release Signature *
Clear
To make registration easier this year, we are incorporating an electronic Medical Release Form rather than requiring a signed copy to be printed and turned in at the event.

By signing and submitting this e-form, you agree to the terms and conditions stated within our Medical Release Form found on our website footer, and by Clicking Here
Message (Not Required)
Questions, comments, scholarships, discounts...list any other questions or information you think we may need to know!