Please complete the following Registration Form to attend the IDTANA Workshop and Symposium
Please provide the following contact information:
Name Choose one CHOOSE ONE ADCRG TCRG TMRF NON-TCRG Dance School/Academy (if any) Region CHOOSE ONE Eastern Canada Mid-America Region Mid-Atlantic Region New England Region Southern Region Western US Region Western Canada Region Contact Phone Contact E-mail Hotel Accommodations CHOOSE ONE I made Reservation at the NY NY Hotel and Casino I will be staying elsewhere Are you Taking the Grade Examination Certification CHOOSE ONE YES NO If YES, Have You Been an Adjudicator for at least 7 Years CHOOSE ONE YES NO There is a $100 Registration fee. Payment can be made by Credit Card. Payment can be made either by Credit Card or payable on the weekend. If you register, payment will be expected even if you withdraw or not attend. Name Credit Card Expiration Date Zip Code of Billing Address
Name
Choose one
Dance School/Academy (if any)
Region
Contact Phone
Contact E-mail
There is a $100 Registration fee. Payment can be made by Credit Card. Payment can be made either by Credit Card or payable on the weekend. If you register, payment will be expected even if you withdraw or not attend.
Registration for IDTANA Workshop
and SeminarRegistration for IDTANA Workshop
and Seminar