Dance Duet

First Performer's First Name *

First Performer's Last Name *

Second Performer's First Name *

Second Performer's Last Name *

Performance Piece Title *

Choreographer *

Grade Level *

Contact Name *

Contact Phone Number *

Contact Email *

Studio/Dance Instructor *

Studio/Dance Instructor phone *

School(s) dancers attend *

Scheduling Requests (No guarantees)

$25 non-refundable registration fee, PayPal