Dance Performers
Dancers Name
*
First Name
Last Name
Name of Parent (Please complete if performer is under the age of 18)
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Choose which category you fall under
*
Kids - 5 yrs to 12 yrs
Youth - 13 yrs to 17 yrs
Young Adults - 18 yrs to 30 yrs
Adult - 30 years to 65 yrs
Golden Years - 65 years +
Gender Identity
*
Male
Female
Are you performing at any other event?
*
Submit
Should be Empty: