All Nations Dance Registration Form

All Nations Dance Registration Form
Home Church
Dancer's Full Name*

First NameLast Name
Parent/ guardian name if the dancer is an un-emancipated minor.

First NameLast Name
Previous Dance Experience

None1-2 Years3-4 years5-6 years7 or more yearsOther
Have you ever worshiped God through your dance?

YesNo
Have you ever ministered to others with your dance?

YesNo
Are you currently a part of a dance ministry and/or company?

YesNo
Birth Date*

MonthDayYear
Age upon registration
Gender

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail (used for updates/ announcements)*
Home Phone Number*

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Dance Community

NorthSouthEastWest
My dance experience includes:

TapBalletPointeLyricalLiturgicalJazzHip-HopOther
My favorite dance genre:
I have used the following pageantry aids:

BannersBillowsFlagsRibbonsScarvesTambrets/ TamborinesOther
My favorite pageantry aid is:
I chose to attend, heard about, or was referred by (please choose one)
Referral source:
Workshop interest (please select all that apply)

I am only interested in workshops.I am interested in dance ministry where I use my talent to tell the good news of God, his love for us, and his plan for salvation.I am interested in becoming an A.N.D core dance team member.I am willing to participate in fundraising.
Enter the message as it's shown*
Thank you for registering for the All Nations Dance Community! Once you click "submit", you will return to our registration page. Please print, complete, and return the emergency card to us when we next meet.
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All Nations Dance Registration Form

Thank you for registering for the All Nations Dance Community! Once you click "submit", you will return to our registration page. Please print, complete, and return the emergency card to us when we next meet.