Registration Form
Dance
320-269-5150 – fax 320-269-5160
– cell 320-226-0366
www,danceusa.biz – e-mail Sharon@danceusa.biz
School
_______________________ Team Name _____________________
School Address
___________________ __________________________
School Phone #
_________________________ Fax # __________________
The information you will need
for the competition will be faxed or e-mailed to you; please list the fax # and
e-mail address to be used:
Fax # ____________________ e-mail address
_______________________
(Please
write legibly or you will not receive your e-mail)
Coach (# 1) Name:
__________________ Coach (#2) ________________
Address:
__________________________ Address:
__________________
__________________________________ _________________________
Phone # where you can be
reached or a message can be left:
Phone # :
__________________________ Phone #
__________________
Cell # :
____________________________ Cell #
____________________
E-Mail ____________________________ E-Mail ___________________
Please circle the
competitions you are registering for:
Competition: RCW HS Yellow
Medicine East
Date
Registration fee $100.00 $100.00 $100.00
Competition
Date
Registration fee
The registration fees are per
competition and per team (Varsity, JV and Jr. High are separate teams). Each School can submit one check for all
competitions.
Please complete as much of
the Data portion of the registration from on the other side of this sheet as
you have available at this time. The
complete data can be e-mailed to Sharon@danceusa.biz
at a later date.
Page 2
Name of your team
_________________ # of dancers on the team ________
↓
A AA AAA A-JV AA-JV AAA-JV Jr.
High ↓
Division your team is in:
↑_______________________________________↑
Can your Varsity share a room
with the JV? __________________________
Captains:
_____________________________________________________
Registering for: High Kick Only? ____ Jazz
Funk Only? _____ Both?____
Leave blank the information
that you don’t have at this time and e-mail it to us as soon as possible (to Sharon@danceusa.biz)
Precision High Kick Song:
_______________________________________
Choreographers:
_______________________________________________
Jazz Song: _______________________________________________
Choreographers:
_______________________________________________
Coach’s Names:
_______________________________________________
________________________________________________
Capitan’s Names:
______________________________________________
________________________________________________
Please send a completed registration form for each team
that will be attending. A registration
fee must be received in our office to be properly registered. Your school can cut one check to Dance