NJCDCA Recreation States INTENT TO COMPETE
*Please note: In order to properly prepare for a State Championship, we need to get an idea how many teams are intending to participate. Submitting this form does not register you for the NJCDCA State Championships. This reserves your spot as your intent to compete. You will need to submit the NJCDCA Registration Form prior to submitting your team's video. (Link to Registration form can be found on www.njcdca.com)
Please complete ONE form for each team entry. Multiple performances will require multiple forms to be completed.
* All questions must be completed before you can advance to the next section of the registration form.
*When this form is complete, a confirmation will be emailed to you. Please print and use the confirmation email as your invoice, and send in with your PO/ check. If a more detailed invoice is needed, please visit the Forms Page on njcdca.com.
** Please Mail Checks/POs to Pat DePalma, 196 Ambermist Way, Forked River, NJ 08731
Questions about registration? Please contact Pat via email at padepalma@aol.com
**Please make checks payable to NJCCA. A $100 Late fee will apply if registered after February 19th. No Registrations will be accepted after March 1st. NO EXCEPTIONS.
Pay by Venmo- @NJCDCA-treasurer
The deadline to complete this form is January 15th, 2021
Email address *
Program *
Program Address *
City *
Zip Code *
Number of Competitors *
Number of Alternates *
Number of Males *
Number of Females *
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