TBX [ New Year's ] Edition Countertechnique® Registration
JAN 2-6, 2017 | KIRA BLAZEK
Bravo Blackbox Theater
4544 S Lamar Blvd #200, Austin, TX 78745

MON | 6-9pm
6pm-8pm // Countertechnique®
8-9pm // Professional Field Consultation

TUE-FRI | 12pm-5pm
12pm-2pm // Countertechnique®
2pm-3:30pm // Choreographer's Lab
3:30-5pm // Dance Film Project
**Special Sessions Include 101 In the field professional consultation
**Community Showing & Shindig on Friday, January 6!!

[ EARLY BIRD ] before Dec 1
// Full Tuition: $200
// VIP Full Tuition: $175

[ GENERAL ] after Dec 1
// Full Tuition: $240
// VIP Tuition: $200
// CT Drop-in: $20

Scholarship Fund:
Invite friends and family to give the gift of dance this holiday season! Donations are tax-deductible!

Our Story
First Name *
Last Name *
Date of Birth *
Email *
Alternative Email *
Phone *
Current City *
Current Zip Code *
I will attend the full workshop & choreography lab
VIPs are TBX artists who attended a previous full workshop
I will attend drop-ins
Please select all classes you will attend.
I would like to pay tuition via *
Tuition is due Dec 23, 2016
I would like to make a tax-decuctable gift that will be matched for the TBX Scholarship Fund
Thank you for believing in homegrown Art in Austin!
Clear selection
Health Liability Statement (please sign initials and date) *
I the undersigned declare that I am healthy, and as far as I know I have no medical or health limitation that may harm or endanger myself during the class, and I am capable to participate in the TBX Workshop. I am obligated to report any temporary or permanent problem, in case it would occur in the future.
Health Declaration (if applicable, please specify injury, sign initials, and date)
In case you have a health problem or any kind of disability, please fill out this paragraph: I declare that my health challenge is: ________ I am obligated to inform the teacher about this before the class starts. In order to continue participating in the TBX Workshop, I am obligated to bring a medical report that approves that there is no risk for me to participate in classes considering any medical issue written above. I herby remove all responsibility from TBX, Amy Morrow and/or the instructors of the classes regarding damages that may occur from my participation in the classes and that are connected to my medical limitations.
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