Tap Class Registration
Youth 8-16 SAT 2- 3 PM | Adults 16+ SUN 10-11 AM
Age Group
*
Youth
Adult
Class Interest
*
Absolute Beginner (never taken before)
Beginner
Advance Beginner ( knows basic tap steps)
Intermediate / Advance
Would you like to barrow tap shoes?
*
Yes
No
Witch class would you like to take?
*
Adult Sunday 10-11 am
Adult Tuesday 5:30 -6:30 pm
Shoe size?
Participant Full Name
*
First Name
Last Name
Participant Full Name
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Emergency contact person
First Name
Last Name
Emergency contact phone Number
-
Area Code
Phone Number
Is there anything specific you'd like to gain from classes?
Waiver of Liability & Photo Release
Waiver of Liability & Photo Release By signing below I agree and understand that these dance activities involve a small risk of injury. I hereby agree to hold T3 Triple Threat Youth Mentors (T3), or any of its affiliates harmless for any injury to myself/my child resulting from me/my child’s participation. I will not sue T3 or any of its affiliates for any injury, loss of property, or damage resulting from participation in this activity. Additionally, I give my permission and understand T3 may use any photos or video footage taken for promotional purposes.
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
How did you find us?
*
Please Select
Craigslist
Facebook
Street banner
Flyer- Poster
Word of mouth
Other
Tap Class Rates
$60.00 monthly class pass
Adult Tap Classes
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ADULT Tap Monthly Class Pass
(
$
60.00
for each
month
)
Discounted rate for paying in advance ( automated payment)
YOUTH Tap Monthly Class Pass
(
$
60.00
for each
month
)
Discounted rate for paying in advance ( automated payment)
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