Delegate Application Form:
Please fill out this form if you are interested in becoming an official Delegate of the Dancewear Drive.
Full Name: *
Age: *
(You must be 13 or older)
Date of Birth: *
City/State: *
About Yourself: *
Please tell us about yourself and why you want to become a delegate of the Dancewear Drive.
Do you have a beneficiary in mind?
Phone Number: *
Email: *
Submit
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