Madill Extra Dance Registration 19-20
Fill out ONE form per Dance
Email address *
Student's Name (s) *
Your answer
Students Age (s) *
Your answer
Birthday *
MM
/
DD
/
YYYY
Extra Dance *
Style *
Preferred Level (Subject to change based on group registration) *
Song Choices (if Known please put them in order with your 1st choice the 1st one listed) *
Your answer
Madill Competition Show ($10 per extra dance) *
Masquerade *
KAR *
Spotlight *
Midwest Starz *
Triple S *
Celebration *
In10sity *
Conventions
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