School

Team Name

School Address

School Phone # School Fax #

The information about the competitions will be faxed or e-mailed to you. Please list a fax # and an e-mail address to be used.

Fax # E-mail Address

Coach (s) Name

Coach (s) Name

Coach (s) Address (s)

Coach (s) Phone: Day # Evening #

2nd Coach (s) Phone: Day # Evening #

The Competition(s) you are registering for:

DATA SHEET

Name of your team

Number of dancers on the team Choose one Jr High A / JV AA / JV AAA / JV A AA AAA

Can the Varsity share a room with the JV? YES or NO

Captains Names

Coaches Names

Precision High Kick Song

Choreographers

Jazz Funk Song

Choreographers

Please click to submit information directly to Dance USA. A confirmation page will then appear. Please print this page and submit with your payment. Complete a registration form for each team that will be attending. A registration fee of $100.00 must be received in our office to be properly registered. Your school can cut one check to Dance USA to cover the entry fees for all the competition that Dance USA is organizing that you wish to attend. (RCW, Yellow Medicine East, and ACGC @ $100.00 each). If you have any questions, please contact us at Dance USA. Thank You.

PRINTABLE FORM