Line Dancing Sign Up

Line Dancing at Royalty Crossing July 4th, 2026 from 11am - 1pm

Register to join the line dancing event in support of the QEH Foundation in collabortaion with Theresa Avery, Movin In Line Dancers
This is a pre-registered event taking place on July 4, 2026, from 11:00 AM to 1:00 PM. All proceeds will support the QEH Foundation.

To participate, please register by completing the form below and submitting a minimum $10 donation via e-transfer to Theresa at chipaluck@msn.com

The Line Dancing Event will take place at Winners Circle, Royalty Crossing Mall. All registered participants will be entered into a giveaway draw.

This is a fun event and cowboy style hats, boots and costumes are highly encouraged!

Thank you for supporting the QEH Foundation.

Yeehaw!
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Have you participated in line dancing before?
Disclaimer: Participation in the Line Dancing Event on July 4th at Royalty Crossing with Teresa Avery, in support of the QEH Foundation, is voluntary. Participants assume all risks associated with physical activity. Royalty Crossing, event organizers, sponsors, and affiliated parties are not responsible for any injury, loss, or damage incurred during the event. By attending, participants consent to photography and video that may be used for promotional purposes.

By signing below you agree to the terms and conditions of this disclaimer.
Signature
Date

MonthDayYear
Date
Should be Empty:

Line Dancing at Royalty Crossing July 4th, 2026 from 11am - 1pm