Dance Competition Registration Form

Dance Competition Registration Form
Participant's Full Name
First NameLast Name
Participant's Date of Birth
MonthDayYear
Date
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
Dance Group Name
Number of Members
Category
SoloDuoGroup
Select Dance Style from Dropdown
Title of Performance
Duration of Performance (in minutes)
Specify if you will bring your own music or need the organizer to provide
Briefly describe any previous dance competition experience
Specify any special costume requirements
Specify any special needs or requests
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 dance competition.
I understand that any misrepresentation of information may result in disqualification.
Participant's Signature
Clear
Date
MonthDayYear
Date
Should be Empty: