Unique Purpose Dancer Registration Form
Ages 5-18
Dancer’s Name
*
Dancer’s Age
Dancer’s Birthday
*
-
Month
-
Day
Year
Date
Grade level for 2024-2025 school year
*
Street Address
City
Parent/Guardian Name
*
Parent/Guardian Mobile Number
*
Format: (000) 000-0000.
Parent Email (if applicable)
example@example.com
Emergency Contact Name
*
Emergency Contact Number
*
Any previous dance experience? If so, what school/team?
Any medical conditions/allergies etc. list below
Please click all options that your dancer is interested in being a part of
Parades
Varsity Competition team (tryout only)
Dance Recitals
Tumbling
Liturgical
Majorette (baton) or Flag twirler
Terms and conditions
*
I understand and agree to pay $25 registration fee upon arrival to registration.
Submit
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