Season 1 Registration Form
This form will be used to pre-register compete in Season One of Dancer America Competition. September 2-4, 2023
Contestants Full Name
*
First Name
Middle Name
Last Name
Contestants / Legal Guardian’s Phone Number
*
-
Area Code
Phone Number
Contestants / Legal Guardian’s email
*
example@example.com
Applicant's Birth Date
*
/
Month
/
Day
Year
Applicant must be 4 - 26years of age as of January 1, 2023.
How did you hear about the Dancer America organization?
Social Media
A Facilitator
Competition Bid
Other
Please select one.
What style of dace will you be representing?
*
Ballet
Contemporary
Hip Hop
Jazz
Modern
Musical Theater
Pointe
Tap
Lyrical
Please select one.
What division would you be competing under. Select division based on your contestants / age as of January 1, 2023 Females)
*
Mini Ages 4 - 6
Junior Ages 7 - 9
Princess 10 - 12
Junior Teen Division Age 13 - 15
Teen Division Age 16 - 18
Miss Division Age 19 - 25
NA / Male
What division would you be competing under. Select division based on your contestants / age as of January 1, 2023 Males)
*
Junior Youth Division Ages 4 - 6
Youth Division Ages 7 - 9
Pre-Teen Division Ages 10 - 12
Junior Teen Division Ages 13 - 15
Teen Division Ages 16 - 18
Collegiate Division Ages 19 - 25
NA / Female
Social Media Handles (Please list all platforms if you have any. Social Media is not required to be a contestant. We must be made aware if you are active on social media.
*
State you are from?
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Select the system you are interested in competing in?
Dancer America (Female)
Dancer America (Male)
Dance Studio
If you are affiliated with one. It is not required.
Parent/ Guardian
First Name
Last Name
Parent/Guardian E-mail
*
Emergency Contact Number
*
-
Area code
Phone number
Please Include 2 Recent Photos
*
Upload files
Professional photos are not necessary
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Dancer America Pre Registration fee
$
50.00
Total
$
0.00
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