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PAUL TAYLOR Winter Intensive Early 2016 Application
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First Name
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Last Name
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Date of Birth
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mm/dd/yyyy
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Age
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Street Address
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include apartment number if applicable
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City
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State
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example: NY
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Zip Code
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Country
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Phone
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example: 555-555-5555
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Email Address
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Contact Phone
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example: 555-555-5555
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Video Link
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A link to a minimum 2 minute, maximum 3 minute video of yourself dancing a modern solo. Please make sure face and full body can be clearly viewed.
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I have taken a:
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check all that apply
New York, NY Winter Intensive
New York, NY Summer Intensive
Ann Arbor, MI Summer Intensive
Baltimore, MD Summer Intensive
Davis, CA Summer Intensive
Daily Class at the Taylor School
None of the above
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Please let us know if you have any health conditions, injuries, medication, allergies or anything at all of which we should be aware of.
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