COMPLEX Dance Competition - Registration Form 2019
Deadline for this form is June 23rd, 2019

Competition Fee Per Dancer: $25
Exhibition Fee Per Dancer: $20
(Prices are the same for both Adult and Youth Divisions)

If you would like to submit an application for BOTH an Adult and Youth team, please fill out two separate applications and choose the correct category for each.

Team Name *
Your answer
Competition or Exhibition *
Youth or Adult Division *
Youtube Link Submission *
Your answer
Number of Performers (min: 5, no max) *
Your answer
Team Bio to be read by the Emcee *
Your answer
Primary Contact (First & Last Name) *
Your answer
Primary Contact (Phone Number) *
Your answer
Primary Contact (Email) *
Your answer
Secondary Contact (First & Last Name)
Your answer
Secondary Contact (Phone Number)
Your answer
Secondary Contact (Email)
Your answer
If you have any questions feel free to ask below or contact Duncan Padilla at (510)-364-0003 or duncanwpadilla@gmail.com
Your answer
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