Form

Registrations may be submitted online, but will not be processed until a cover letter, a release form and the appropriate fees are mailed to: Take Centerstage Dance Challenge, 67 Ipswich Street, Johnston, RI 02919. Forms can be printed from the website.

*please submit separate form for each entry*
Entry Name
Choreographer
First Name Last Name
Studio Name

Studio Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Contact Phone*
- Area Code Phone Number
Contact Email*
Competition Date
Location of Regional
Tell us about your group
Group Type
# of Dancers
total before discounts
Age
Skill Level
Choose Style
Dancer 1
First Name Last Name
Dancer 2
First Name Last Name
Dancer 3
First Name Last Name
Dancer 4
First Name Last Name
Dancer 5
First Name Last Name
Dancer 6
First Name Last Name
Dancer 7
First Name Last Name
Dancer 8
First Name Last Name
Dancer 9
First Name Last Name
Dancer 10
First Name Last Name
Additional Dancers or special notes
Should be Empty: