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PAUL TAYLOR Summer Intensive
CA Application Form
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First Name
*
Your answer
Last Name
*
Your answer
Age
*
Your answer
I am interested in attending :
*
The first week (June 15-19)
The second week (June 22-26)
Both weeks (June 15-26)
City
*
Your answer
State
*
example: NY
Your answer
Country ( if not in USA)
Your answer
Telephone Number
*
example: 555-555-5555
Your answer
Email address
*
Your answer
I have taken a:
*
check all that apply
New York, NY Winter Intensive
New York, NY Summer Intensive
Ann Arbor, MI Summer Intensive
Baltimore, MD Junior Summer Intensive
Baltimore, MD Senior Summer Intensive
Bloomington, IN Summer Intensive
Davis, CA Summer Intensive
Los Angeles, CA Summer Intensive
Daily Class at the Taylor School
None of the above
Required
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