Clone of LR 4th Annual Competition Registration Form

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Phone Number:* This field is required.
Area Code
Phone Number
4
Please list your partners full name, email, and phone number here:* This field is required.
5
Will you be competing in Salsa or Bachata?
Salsa
Bachata
Both
6
Salsa & Bachata Prelim Dates (if applicable):
August 22, 2026 - Bachata
Septmeber 5, 2026 - Bachata
September 18, 2026 - Bachata
September 19, 2026 - Salsa
October 3, 2026 - Salsa
October 16, 2026 - Salsa
7
By clicking the "Submit" button you are submiting your online application. Once we recieve your application, you will officially be regsitered for the competition. Thank you for participating we can't wait to see you on the dance floor!
Should be Empty: