Registration

After filling out this form, you will be taken to a payments page.

(If you missed the payments page during your registration, just click the link above.)

Name (Person #1)

First Name

Last Name

Email (Person #1)

Phone (Person #1)

(###)

###

####

Name (Person #2)

First Name

Last Name

Email (Person #2)

Phone (Person #2)

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Highest Dance Level

Advanced (A2)

Challenge 1

Challenge 2

Challenge 3A

Challenge 3B

Challenge 4

Non-Dancer

I/We intend to stay at the host hotel.

(Needed to match names to our room block!)

Yes