Season 1 Dancer America Application

Season 1 Registration Form

This form will be used to pre-register compete in Season One of Dancer America Competition. September 2-4, 2023
Contestants Full Name*

First NameMiddle NameLast Name
Contestants / Legal Guardian’s Phone Number*

Area CodePhone Number
Contestants / Legal Guardian’s email*
example@example.com
Applicant's Birth Date*

MonthDayYear
Applicant must be 4 - 26years of age as of January 1, 2023.
How did you hear about the Dancer America organization?
Please select one.
What style of dace will you be representing?*
Please select one.
What division would you be competing under. Select division based on your contestants / age as of January 1, 2023 Females)*

Mini Ages 4 - 6Junior Ages 7 - 9Princess 10 - 12Junior Teen Division Age 13 - 15Teen Division Age 16 - 18Miss Division Age 19 - 25NA / Male
What division would you be competing under. Select division based on your contestants / age as of January 1, 2023 Males)*

Junior Youth Division Ages 4 - 6Youth Division Ages 7 - 9Pre-Teen Division Ages 10 - 12Junior Teen Division Ages 13 - 15Teen Division Ages 16 - 18Collegiate Division Ages 19 - 25NA / Female
Social Media Handles (Please list all platforms if you have any. Social Media is not required to be a contestant. We must be made aware if you are active on social media.*
State you are from? *

Street Address

Street Address Line 2

CityState

Zip Code
Select the system you are interested in competing in?
Dance Studio
If you are affiliated with one. It is not required.
Parent/ Guardian

First NameLast Name
Parent/Guardian E-mail*
Emergency Contact Number*

Area codePhone number
Please Include 2 Recent Photos*

Upload files
Professional photos are not necessary Cancelof
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Dancer America Pre Registration fee$50.00

Total $0.00
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Season 1 Registration Form