Portcity boyz final.jpg (147763 bytes)                 Port City Boyz

                             Dance Workshop Registration Form

Please fill out one form per Team!
Directors Name:
Team/Studio Name:
Address:
City, State, Zip:
Contact Phone Number:
Email Address:
Number of Dancers resistered prior to Deadline Date: (Enter 0 if no-one!)
Names and Ages of Dancers: (Enter 0 if no-one!)
Number of Dancers resistered after Deadline Date: (Enter 0 if no-one!)
Name and Ages of Dancers: (Enter 0 if no-one!)
Exhibition / Auditions ($15.00 per dance min 6 dancers) and type of dance:
Pre-Order T-Shirts $13.00 (child - Adult XL) $16.00 1X - 3X: CH-S
CH-M
CH-L
AD-S
AD-M
AD-L
AD-XL
AD-1X
AD-2X
AD-3X
Please enter quantity of each shirt size you are ordering:
Make Checks Payable and mail to:

Jamie Watson

115 Holly Street

Leland, NC. 28451


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