TIPDI Afro-Haitian Intensive

The International Partner Dance Intensive - New York City - Dance for Adults

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TIPDI Afro-Haitian Intensive Registration Form

Name *

First

Last

Email *

Primary Phone # *

Mailing Address *

How Did You Hear About TIPDI? *

I am enrolling: *

Solo With a Group of 4 or More Student w/ID

If you're in a group, please list all their names here: *

Do you wish to use our Payment Plan? *

No Yes

If enrollment is full, do you want to be placed on the waiting list? *

Yes No

I am looking for housing on Saturday night. *

Yes No

Do you have any injuries or physical limitations of which the instructors should be aware? *

I understand that I am enrolling in a program that requires rigorous physical activity. I certify that I am 18 years of age or older, and that I am physically able to handle the intensive. I understand that neither TIPDI, its instructors, or staff, are liable in the event of any injuries I may incur. (Please check below.) *

I understand and comply with the above statement.

When you click the "CONTINUE" button, your Registration form will be emailed to us, and you will be taken directly to our Payment page. If enrollment is full, you'll be redirected.
Thank you!

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