FACULTY/CHAPERONE REGISTRATION - 2019 Regional HS Dance Festival
This form must be filled out by each faculty member and/or chaperone participating in the Regional High School Festival at the University of Wisconsin-Madison, March 15-19, 2019.

Two faculty/chaperone registrations are Included with each school registration of $200. Additional faculty/chaperones up to a MAXIMUM of 7 total are allowed. The fee for each additional faculty/chaperone is $75.

This form and the fee must be received NO LATER THAN Jan 27, 2019.

First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Cell phone number *
Your answer
Dance High School to which you are affiliated. *
Your answer
Dance High School City, State *
Your answer
T-shirt size. *
Please select one: *
FOR ADDITIONAL FACULTY/CHAPERONES: My payment of $75 MUST be made to my Dance High School.
I MUST sign the Liability/Media Release Forms and submit it to my Dance High School. *
Required
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