Northern Plains Dance Locker Sponsorship or Rental

Northern Plains Dance Locker Sponsorship or Rental
If your family has more than one student, please complete one form per locker.

Sponsor/rentee is responsible for providing a combination lock and NPD office must be given combination to be kept on file prior to locking. NPD is not responsible for lost or stolen items left in an unlocked locker.
Student Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent Email
example@example.com

Please complete this form and see a staff member for locker availability
Women's Locker
Men's Locker
Locker Number
Locker Combination
Please submit only numbers. (For example: 4-25-6 will be submitted as 042506)

Choose your locker payment option below.

Locker Sponsorship

Sponsorship includes your name on the locker for the life of the locker, in addition to 3 years of locker rental (including summer) | Please contact NPD for availability.

$500.00

Locker Sponsorship - 2 Payments

Make half of your sponsorship payment now and the other half will be charged on your card on file on July 1, 2025. 3 years of locker rental included - name plate will be added upon receipt of second payment. (includes summer) | Please contact NPD for availability.

$250.00

Season Locker Rental

Rental through May 31, 2027

$60.00

Summer Locker Rental

Additional rental through NPD's 2027 6-week summer semester of classes. Lockers must be cleaned out on the dancer's last day of classes.

$12.00

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Select one:
Name to appear on locker (sponsorship plate will be present for the life of the locker)
By signing this form, I agree to the terms and conditions set out in the Locker Agreement.
Parent Signature
Student Signature
Should be Empty: