ECD Dancer Registration
You must bring proof of vaccination the first time you attend a PCDC ECD.
Your Name *
Telephone number (for Contact Tracing) *
Email address *
Are you a Member of PCDC? *
Are you willing to help with the door at a future dance? (You will have priority in the lottery if you are scheduled for door duty) *
Do you want to be added to the following Email lists used for event announcements?
For use in Email "filtering" please provide a City and Zipcode
In order to avoid having to show your Proof of Vaccination again at any PCDC event, 1st and 3rd Saturday Contra, JoyRide or Contra Remix, these groups are creating a combined database that will contain contract tracing information and Proof of Vaccination status. Would you like us to share this information with these other groups? *
Required
Optional: 2nd dancer name If registering 2 dancers for the lottery
2nd dancer: Phone number (If different that 1st dancer)
2nd Dancer: Email address (If different that 1st dancer)
2nd Dancer: Are you a member of PCDC
Clear selection
2nd Dancer: Are you willing to help with the door at a future dance? (You will have priority in the lottery if you are scheduled for door duty)
Clear selection
Do you want to be added to the following Email lists used for event announcements?
For use in Email "filtering" please provide a City and Zipcode
In order to avoid having to show your Proof of Vaccination again at any PCDC event, 1st and 3rd Saturday Contra, JoyRide or Contra Remix, these groups are creating a combined database that will contain contract tracing information and Proof of Vaccination status. Would you like us to share this information with these other groups?
Clear selection
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