Registration
Best Costume Competition | Kids are welcome

Admission: $10 Advanced | $15 At the Door | Includes 1 bingo card, additional Cards $10 each

15 Games | Cards Valid for all games | Winning cards must be surrendered | No host bar

Proceeds to benefit Dance/10 Dancers, Inc. | A non-profit organization that promotes dance education.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
 
Questions/Options:
I would like to purchase the following number of admission tickets:*
Unfortunately I cannot make it and I would like to make a donation to Dance/10 Dancers, Inc. in the following amount:
 
Additional Information:
 
Payment of Admission
I understand that my account on file will be charged for the number of requested admission tickets or the requested donation amount. Your name and the quantity of admissions will be on the Will-Call sheet at the event.
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: