2022-23 Regional Registration form

Gym/Studio/Club Name

Main contact

First NameLast Name

Contact email

example@example.com

Organization address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Choose a competition registering for

Feb 26- Mitchell, SD CLOSED!!!!March 11-12- Sioux Falls, SDMarch 25-25- Des Moines, IAApril 15- Fargo, NDApril 22- Detroit, MichiganApril 29-30- Kansas City, MO- ALL GROUP/TEAM ROUTINES ARE FREE!

If you are entering one of the 2 day competitions you may choose:

#1- to compete Saturday

#2- to compete Sunday

#3- to compete Group routines BOTH days (2 separate performances) and use combined scores be eligible for a special overall award in your division.

2 Day option Competitions:

=

Sioux Falls- March 2023

2 day competitions- please choose 1

Saturday CompeteSunday CompeteCompete both daysNot Applicable for the competition we are entering.

All Cheer teams- Enter cheer team name, Age division & Level- we will contact you for roster

All star, Novice & Rec Dance Teams- Enter dance team name, Age Division and category- we will contact you for roster

Dance studios- enter each group routine name-Category- and participants names with DOB, Level (Sparkle- Novice, Elite- Competitive)

Dance Solos: enter soloist name, Name of song, DOB, dance category, Level (Sparkle- Novice, Elite- Competitive)

Cheer Duos & Stunt Teams- enter athlete names, DOB, level

Cheer individuals: enter athlete name, DOB, and type of individual (cheer, jumps, tumble)

Dance Duets/Trios- list name of routine, dancers names & DOB, dance category, Level (Sparkle- Novice, Elite- Competitive)

List all participants in Miss Cheer- Their Name & DOB

List all participants in Mr Cheer- Name & DOB

List all participants in Miss Dance - Name & DOB

List all participants in Mr Dance- Name & DOB

List all photogenic entries - Name & DOB

If you dealt with a Baby I'm a Star Rep- please select their name.

EmilySamantha

My Products

Group RoutineDance or Cheer

$199.00 Quantity

Small Group Dance Routine (4-9 dancers)

$99.00

Dance Solo

$40.00 Quantity

Dance Duet/Trios

$75.00 Quantity

Cheer Indiv Solos

$30.00 Quantity

Cheer Jumps/Tumble

$20.00 Quantity

Cheer Duo

$50.00 Quantity

Stunt Team

$75.00 Quantity

Miss/Mr Competition

$25.00 Quantity

Photogenic

$20.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.