Registration and Payment Online ONLY by Paypal - Online ONLY - No Mail In Payments
First Name: * Max length: 35 characters
Last Name: * Max length: 35 characters
Gender: Male Female *
Address: * Max length: 35 characters
City: * Max length: 35 characters
State: * Ex: OH, IL
Zip: * Ex: 38980 or 83900-8789
Phone: * Ex: (308)-135-7895 or 308-135-7895 or 308135-7895 or 3081357895
Email: *
Comments: *
Dance registration: 0 1 @ $98
Youth (under 25) dance only: 0 1 @ $69 (NA - Youth Discount SOLD Out - Inlcudes Waitlist)
College meal package: 0 1 @ $21 (Saturday breakfast & lunch, Sunday breakfast)
Saturday catered dinner: 0 1 @ $18
Saturday catered dinner vegetarian: No Yes
Sunday lunch/snack: 0 1 @ $8
Sunday lunch/snack vegetarian: No Yes
Dorm room for 2 nights: No Single @ $98 Shared @ $50 (Single @ $98, Shared @ $50)
Roommate requested:
Special notes: Special considerations we should know about (allergies, children, other)
Phone: * Ex: (308)-235-7895 or 308-235-7895 or 308235-7895 or 3082357895
Total: $0