Philadelphia 76ers
Game Date
*
Name
*
First Name
Last Name
Studio Name
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone Number
*
-
Area Code
Phone Number
Studio/School/Organization's Name (will appear on back of t-shirts)
*
T-Shirt Sizes
Level 1...Ticket - Dancers included Performance T-shirt Level 2...Ticket only Level 3 - Ticket & T-Shirt (Teachers, Family and Friends)
Number of Dancers.....includes helpers to special needs dancers
Total
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Philadelphia 76ers
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