Poway Dance Project Convention Registration
New this year!! PDPConvention:
Date: Sunday, August 11, 8:15-3:30
Event Address: Signature Dance Academy, 13150 Poway Rd, Poway, CA 92064
Contact us at
Clinic Date: Friday, September 6, check in at 3:30
Convention Only Fee: $65
Convention and Clinic Bundle Registration Fee: $99
Clinic includes dance t-shirt, meal, photo, and treat. Registration for Clinic only will be live on 8/15.
Dress: Leggings, leotards, dance shorts and dance tops are all great! Bring jazz shoes, half soles (or jazz shoes if you don't own them), and street shoes and clothes for hip hop if you desire.
For payment, send a check to 13912 Country Creek Road, Poway, CA 92064
OR venmo payment to Poway Dance Booster Club @kris-flies (include dancer's name in the "What's it for" area)
OR contact Jen Gladheim at
with your name and phone number to arrange a credit card payment.
Please fill out separate registration forms for each participant.
Participant LAST name
Participant FIRST name
Parent Mobile Phone
Date of birth of participant
Emergency Contact Name & Relationship
Emergency Contact Phone Number
Medical Problems (diabetes, allergies, asthma, seizures, etc.)
I give PDP and PHS permission to use my child's likeness in photograph(s) and or video in any and all of its publications and PHS Dance website, whether now known or hereafter existing, controlled by PHS Dance Team.
I understand that my dancer's spot is not secured until payment is made.
I will make payment by:
Check mailed to 13912 Country Creek Road, Poway, CA 92064
Venmo to Poway Dance Booster Club @kris-flies
Contact Jen Gladheim
to arrange cc payment
I was referred by this PDP dancer:
I am taking advantage of the bundle option and registering my child for PDP Convention & Clinic
Yes (If yes, please continue answering the remaining registration questions)
No (If no, please scroll down to submit the form)
ADULT extra small
Gluten-free (due to celiac)
Gluten-free (due to diet choice)
School participant attends & grade level
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