Form

I Am Dance May 25th Flash Mob Registration
Number of Participants:*
Number of Attendees: (non-participants)*
Participant 1 and Primary Contact Name:*
E-mail: Please make sure it is entered correctly*
If the other participants would like to be contacted separately, please complete below.
Participant 2 Name:
E-mail: Please make sure it is entered correctly
Participant 3 Name:
E-mail: Please make sure it is entered correctly
Participant 4 Name:
E-mail: Please make sure it is entered correctly
Participant 5 Name:
E-mail: Please make sure it is entered correctly
Please Check*

Please contact me for Flash Mob Info Contact me for other I Am Dance information
Participants and non-participants will have to pay. Only participants will receive a t-shirt.

Please select the number of Participants and Attendees (if any)
Participants and Attendees:*
One Participant $12.00 USD
Two Participants $24.00 USD
Three Participants $36.00 USD
Four Paricipants $48.00 USD
Five Particpants $60.00 USD
One Attendee $12.00 USD
Two Attendees $24.00 USD
Three Attendees $36.00 USD
Four Attendees $48.00 USD
Five Attendees $60.00 USD

Total: $0.00 USD
Clicking submit will take you to paypal to complete the non-refundable registration payment.
Should be Empty:

I Am Dance May 25th Flash Mob Registration