Parent Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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Dancer 1 Name

First Name

Last Name

Terms and Conditions and Waiver of Liability *

I acknowledge that I have read the convention terms, conditions and liability waiver. By selecting yes, I agree to all terms outlined. Waiver available to view on the webpage below.

No

Yes

Dancers Phone #

(###)

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