Dance Competition Registration Form

Dance Competition Registration Form
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant's Age
Gender

MaleFemale
Participant's Contact Number
Please enter a valid phone number.
Participant's Email Address
example@example.com
Participant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian's Name

First NameLast Name
Relationship to Participant
Guardian's Contact Number
Please enter a valid phone number.
Guardian's Email Address
example@example.com
Select Favorite Dance Style from Dropdown
Briefly describe any previous dance competition experience
By submitting this form, I acknowledge that:

The information provided is accurate and complete.
I agree to abide by the rules and regulations of the DPDC Dance Team.
I understand that I will be given a contract that needs to be reviewed and signed in order to be given a spot on the team.
Participant's Signature

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By submitting this form, I acknowledge that:

The information provided is accurate and complete.
I agree to abide by the rules and regulations of the DPDC Dance Team.
I understand that I will be given a contract that needs to be reviewed and signed in order for my child to be given a spot on the team.
Guardian's Signature

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Date

MonthDayYear
Date
Should be Empty: