ICDC Membership

ICDC Membership
Membership Type

Coach ($25 Membership) Judge ($40 Membership) Tournament Directors (50 Membership)
School
Coach of

Dance Cheer Both
Name

First Name Last Name
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Cell Phone:

Area Code Phone Number
School Phone

Area Code Phone Number
Please submit form and mail payment or Venmo (@ICDC-Idaho) of $25 dollars to:

ICDC C/O Katie Williams

1456 West 400 South

Pingree, Idaho 83262
Should be Empty: