Dance & Cheerleading - Performing Arts
**DEADLINE 1/31/2019**

Email address *
Maximum of 2 Entries per Daughter
Submit separate forms for Solo & Group Acts

Solo Acts may use 1 form for up to 2 entries. Group Acts must submit a form for each entry.

2019 Chairman - Krista Tofstad
Please refer to Rules & Guidelines for complete instructions
Solo Performer - Last Name
Your answer
Solo Performer - First Name
Your answer
Bethel Number *
Your answer
Age at Jobie Weekend 2019 - Solo Performers
Your answer
Birthdate (Solo Performer only) *
MM
/
DD
/
YYYY
Contact Phone # *
Your answer
Duo, Trio & Group Members
If more than 3 members list remaining names under Additional Daughters
Group Daughter #1 - First & Last Name
Your answer
Group Daughter #2 - First & Last Name
Your answer
Group Daughter #3 - First & Last Name
Your answer
Additional Daughter Names
Your answer
Contact Name - First & Last *
Your answer
Type of Performance & Divison
Division *
Required
Type of Performance *
Required
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