July 29-31, 2018

World Dance Pageant Registration

Contestant
Gender:  
First Name:   Last Name:    DOB:     
Address:  
City:     State:      Zip:    
Email Address:     Phone:  
Studio:   Teacher:  
Apparel Size
 
Chaperone
Name:    
Cell Phone:  
Talent Info
Song Title:  
Category:  
Prop:  
Referred By
How did you hear about World Dance Pageant? (Select all that apply)
   
Interview Questionnaire
School:   Grade:  
Favorite School Subject:   Favorite Dance Style:  
Do You Have Any Siblings?  
Hobbies Outside of Dance:  
School Achievements:  
Three Highlights about your Dance Background and/or Achievements:  
   
   
Please Share 3 Interesting Things About Yourself:  
   
   
Scholarships and Discounts
Scholarship:
Package Info
  Price Quantity Amount
World Dance Pageant Entry: $475.00 1    $475.00
Additional Party Tickets (2 tickets are included with registration): $25.00   $0.00
Scholarship: $0.00 0    $0.00
Package Total: $475.00
Payment
 
Signature Authorization

I,  , Parent or Guardian of the contestant listed above, have read the following World Dance Pageant Documents:

World Dance Pageant Rules and Policies

By clicking the submit button below,
I acknowledge, understand and agree to all of the terms stated in the above listed World Dance Pageant Documents.

Please review all your information before hitting submit.
Once your registration has been submitted you will need to contact the WDP office to make any changes.

Changes can not be made online.

         
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