Register on Line

Gotta Move! Competitions LLC 96 S. 2120 W. Provo, Ut 84601

Soloist may register by:
Mail: download and complete registration form and mail to 96 S. 2120 W. Provo, Ut 84601 (must be postmarked by deadline date to receive the best price option.)
Fax: download and complete registration form and fax to 801-373-5584 with Credit card information included
On-line: fill out the applicable fields below and submit your information on-line.

Gotta Move 2012 Solo/Duo/Trio On Line registration
(Teams must register by fax or mail - download team registration form under "Studios & Teams" tab)

Choose Competition Date *

Friday, March 9th, Syracuse High School 665 S. 2000 W. (entry deadline Jan 28th 2012) Friday, April 27th Maple Mountain High School 51 N. 2550 E. Spanish Fork, Ut (entry deadline March 17th 2012) Friday, May 4th Provo HIgh School 1125 N. University Ave. (entry deadline March 17th 2012)

Skill Level *

Novice: Very beginning dancer. Single piroettes, chaines, grande jete Beginning: Double piroettes, pique turns, side leaps, beginning dance moves Intermediate: Triple piroettes, fouettes, switch leaps, average/good technique & flexibility Advanced: Multiple/directional fouettes, specialty turns/leaps, excellent technique & flexibility.

Mark one *

Solo $45 Duo $70 ($35 each dancer) Trio $95 ($35 each dancer)

Song Title *

1st Dancer's name *

First

Last

Gender *

female male

1st Dancer's age and birthdate (mo / day / yr) *

2nd Dancer's Name (for duo) *

First

Last

Gender *

female Male

2nd Dancer's age and birthdate (mo / day / yr) *

3rd Dancer's Name (for trio) *

First

Last

Gender *

female male

3rd Dancer's age and birthdate (mo / day / yr) *

Contact Person's Name *

First

Last

Best Phone Number *

Mailing address *

City & State *

Zip Code *

Email *

Dance Studio (or independant) *

Studio Director (or independant) *

Studio Phone (or 2nd phone option for independant dancer) *

In consideration of your accepting this entry, I hereby, for myself, my child, my heirs, executors, and administrators, waiver and release any and all rights and claims for damages I or my child may have against Gotta Move LLC, venue owners or affiliates, their representatives, successors and assigns, for any and all injuries suffered by myself at any activity sponsored by these groups. (Enter name of each dancer's legal guardian in the field below) *

Enter card number below *

Expriation date *

Billing address and zip code for this card *

Name on Card *

A 3% banking fee is added to all credit card transactions.

Registration is not complete until payment is received in full
If on-line form is not sending, please check to see that all required fields have been completed and submit again. (Incomplete fields will be outlined in a red border)
You will know the form has successfully been sent if all information disappears from the fields when you press "submit". An email confirmation will be sent to you within 48 hrs.

Gotta Move 2012 Solo/Duo/Trio On Line registration(Teams must register by fax or mail - download team registration form under "Studios & Teams" tab)

Gotta Move 2012 Solo/Duo/Trio On Line registration
(Teams must register by fax or mail - download team registration form under "Studios & Teams" tab)