Registration

An evening of mingling, drinks, fun and the occasional dance step!



Admission: $50 Advanced Purchase Required | Adult, 21+ only.

No dance expereince is necessary | Tutus encouraged. Tutu Contest. | 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 Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
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:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip: