APPLICATION FORM FOR APAP SHOWCASE

Your Information

* Please Note: All fields must be filled out *

Contact Person's Name:

Contact Person's Email:

Contact Person's Phone:

Address:

City:

State:

Zip code:

Country

Company Name:

Company Website:

Company Bio:

Title of proposed work:

Exact length of proposed work (include parts in silence, if applicable):

Music:

Number of Performers:

Props: (if applicable)

Online link to proposed work: (Youtube or Vimeo only)

I am interested in presenting:

	a 5 minute piece
	an 8 minute piece

Will this piece premiere at APAP:

	Yes
	No

Please Note:

Each Application may contain only one work. If you wish to submit additional work for consideration, please fill out a separate application for each.
Peridance Capezio Center's APAP Showcases do not permit nudity in any form.
The Salvatore Capezio Theater at Peridance is an official APAP venue showcasing dance companies during the APAP conference. Peridance Capezio Center does not act as agent.

Credit Card Information

Credit Card:	*
Name on Card:	*
Card Number:	* Required Information
CIV Code: What is this?	*
Expiration Date:	/ * Required Information (mm/yy)
Refund Policy: A $50 Application Fee is non-refundable. Choreographer/Dance Company may only receive a refund if Peridance Capezio Center is notified, in writing, no later than October 15th, 2013. If refund is given, a $100 registration and processing fee will be deducted from the refund amount. Refund for payments made by Credit Card will bear an additional deduction of 3.5% (to cover credit card fees). If Peridance is notified after October 15th, 2013, choreographer/dance company may only be offered a partial or full refund (minus registration and processing fee), at Peridance's discretion, if Peridance can substitute their place with another choreographer/dance company. Peridance reserves the right to cancel its APAP presentation if participation is insufficient. In such case, choreographer/dance company will be notified by November 1st, 2013 and receive a full refund.

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If you have are having difficulty submitting this form, or have questions, please call us at 212-505-0886 or email us at info@peridance.com