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Dancer 1 Full Name*

Dancer 1 Badge Name*

Street Address*

City*

Province*

Postal Code*

Email*

Phone*

Dancer 2 Full Name

Dancer 2 Badge Name

Street Address

City

Province

Postal Code

Email

Phone

For more than 2 dancers please fill out another online form.

Convention Dance Preferences: MainstreamPlusAdvancedCued Ballroom Phase IICued Ballroom Phase IIICued Ballroom Phase IVClogging

If you would like to participate as a Dance Leader, get your registration in before April 30/26.
Programming For Leaders: Square Dance CallerCued Ballroom CuerClogging CuerOther

I have read and agree with the policies and statements below.

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