Convention Registration Form

Download A Printable PDF Version of This Form

Studio Information
Convention City:
Studio Name*:
Street Address:
City:
State:
Zip Code:
Studio Website:**

*Individuals attending without a studio should provide their personal contact info.

**If you do not have a valid website, place http://none.com.

Director's Information
Directors Name:
Email:
Phone:

Please list each director attending the workshop.

Studio Owner/Director:
6 + Dancers Registered:

Free Registration



Studio Owner/Director:
Studio Owner/Director:

Please list each teacher attending the workshop.

Teacher 1:
20-39 Dancers Registered:

Free Registration

Teacher 2:
40+ Dancers Registered:

Free Registration



Teacher 3:
Teacher 4:
Teacher 5:

Please list each Observer attending the workshop.

Observer 1:
Observer 2:
Observer 3:
Observer 4:
Observer 5:
Observer 6:
Observer 7:
Observer 8:
Observer 9:
Observer 10:
Observer 11:
Observer 12:
Payment Information
Jr. Students:
X $110 =
Sr. Students:
X $110 =
Paying Directors:
X $100 =
Paying Teachers:
X $120 =
Observers:
X $20 =
Payment Type:

Credit cards will NOT be charged upon submission. Please allow up to 48 hours for your transaction to be processed. Check or Money Order must be postmarked the day of online submission or registration will be subject to cancellation.

Card Number:
Expiration:
Card Security:
Name on Card:

As Studio Director (or legal guardian of individual), I hereby confirm that all of the information on each registration form is correct, including all birth dates and ages of performers. I understand that if information is shown to prove otherwise, my entries will be disqualified. I am aware that there are no refunds and that all changes must be submitted, in writing, 2 weeks prior to the competition. I understand that if any non-sportsmanship conduct should occur regarding dancers, parents or staff from my studio, I will be responsible and a point penalty may occur. I grant permission to Reaction Dance Force (RDF) to use pictures and/or videos of my performers for promotional use. Furthermore, I agree to hold harmless Reaction Dance Force (RDF), LLC and its associates if any damages or injuries are sustained during this event.

I Agree To The Terms & conditions