IMPROV REGISTRATION

NATIONAL TITLE PARTICIPANTS – DANCERS WHO WON A REGIONAL TITLE AND ARE REGISTERED FOR THE NATIONAL TITLE COMPETITION WILL BE AUTOMATICALLY REGISTERED FOR THE IMPROV COMPETITION. PLEASE DO NOT COMPLETE THIS FORM IF YOU ARE A NATIONAL TITLE COMPETITOR.

Please be sure you have read the rules.

We currently do not accept American Express.

Dancer's Name(Required)

First Last

Studio Name(Required)

Age of Dancer as of Jan. 1, 2022(Required)

Billing Name(Required)

First Last

Email(Required)

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Billing Phone(Required)

Price

Price:

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name