Form

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

Studio Address

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

Phone*
- Area Code Phone Number
Email*
Please provide the following information for all participants
Dancer 1
First Name Last Name
Entry type
Dancer 2
First Name Last Name
Entry type
Dancer 3
First Name Last Name
Entry type
Dancer 4
First Name Last Name
Entry type
Dancer 5
First Name Last Name
Entry type
Dancer 6
First Name Last Name
Entry type
Dancer 7
First Name Last Name
Entry type
Dancer 8
First Name Last Name
Entry type
Dancer 9
First Name Last Name
Entry type
Dancer 10
First Name Last Name
Entry type
Total before discounts
Discounts if any
Total Due
Additional Dancers or special notes
Should be Empty: