Competition Registration Form

Competition Registration Form

(Please read Competition package before submitting registration form)
Head Coach/Director Name

First NameLast Name
Team Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Team Name
Team Email Address
example@example.com
Team Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Dancers
Categories (Must compete in both walk thru and creative for $500 grand prize).
By submitting this form, I acknowledge that:

I do understand that I must pay a NON-REFUNDABLE registration fee of $125 to qualify to compete.

I do understand that all participants must summit a waiver to compete upon entering the facility.

The information provided is accurate and complete.
I agree to abide by the rules and regulations of the dance competition.
I understand that any misrepresentation of information may result in disqualification.
Team Roster

Team Rosters can be sent at a later date.
Cancelof
Director Signature
Team Waiver

(May summit during check-in)
Cancelof
Date

MonthDayYear
Date
Should be Empty: