Champions Elite Allstar Dance Evaluation and Try Outs- Pre Registration 23/24
Please fill out all information for the 23/24 season.
Name
*
First Name
Last Name
Child’s Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Have you danced before?
*
Yes
No
What school will you attend in Fall 2023?
*
Grade level for the 2023 school year?
*
Age as of July 1, 2023
*
Any medical conditions or allergies? If none put n/a.
*
Parent #1 Name
*
First Name
Last Name
Parent # 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent # 1 Email
*
example@example.com
Parent # 2 Name
*
First Name
Last Name
Parent # 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent # 2 Email
*
example@example.com
Submit
Should be Empty: