Lancer Dancers Registration

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First Name

Last Name

Date of Birth

Age

Address

Country

Street

Address Line 2

City

State

Zip

Dancer/Parent/Guardian Name

Parent/Guardian Cell

Home Phone

Dancer Cell phone

Dancer/Parent/Guardian Email Address

Top Size

Bottom Size

Shoe Size

List Dance/ Cheer experience and Years Studied

Why would you like to be a member of the Lancer Dancers?

How did you hear about the auditions?

Registration Fee $20 (Cash Only)

Please call 585-872-KICK for special events, birthday & group tickets or sponsorship opportunities.