STATE DANCE FESTIVAL REGISTRATION

School   Teacher

School Address

School Phone   Home Phone E-mail

My school will be performing

My school will not be performing

DATE OF SPRING DANCE CONCERT:

VIDEO ORDERS ($15 for members, $30 for non-members):   

    How many videos would you like?     Total amount owed:

    Please Check One:    Included in purchase order/check    I will pay cash at the festival

Total number of students attending (maximum 20)

Total Owed:

        Early Registration (before 1/30) for 20 (member $150, non-member $225)      

        OR

        Late Registration (after 1/30) for 20 (member $200, non-member $275)         

        Video (members $15, non-members $30)                                                       

        Adjudication - $10 per school                                                                                  

        Total                                                                                                              

PLEASE FILL-OUT THE CLASS REQUEST FORM.  AFTER YOUR PAYMENT (check or P.O.) HAS BEEN RECEIVED, YOUR STUDENTS WILL BE PLACED ACCORDINGLY AND YOU WILL RECEIVE A CONFIRMATION  EMAIL.