TIPDI Tango Registration Form

TIPDI Tango Workshop Registration Form

* Indicates required field

Name *

First

Last

Email *

Primary Phone # *

Mailing Address *

How Did You Hear About TIPDI? *

I would like to take the following workshop(s): *

Tango for People with Other Training (Beg.) Advance Your Dance (All Levels) The Next Level Matrix (Int./Adv.)

I am enrolling: *

With a Partner (1 Leader, 1 Follower) As a solo Leader As a solo Follower

Please note: All TIPDI workshops and weekends are non-gender biased. You can enroll as a leader or follower, regardless of gender.

If you are enrolling with a partner, please type their name here: *

Please include any other dance experience (partner and non-partner) here. *

Would you like to schedule a private lesson? *

Yes No

Which instructor(s) for your private lesson? (Daniela, Luis, or Both?) *

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. Please make sure any "registration partners" register ASAP, too!
Thank you!

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