Lancer Dancers Registration

Next Home Games: Fri Jan 31 & Sat Feb 1

First Name

Last Name

Date of Birth

Age

Address

Street

Address Line 2

City

State

Zip

Country

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)

Next Home Games: Fri, Jan 31 & Sat Feb 1. Please call 585-872-KICK for special events, birthday & group tickets or sponsorship opportunities.