EMAIL: NAME OF COMPETITION ENTERED
YOUR NAME AND PARTNER'S NAME
PLACEMENT (1st 2nd or 3rd if any)
NATIONAL URBAN DANCE CHAMP
With the purchase of this pass, I agree to hold the organizers of In10se Dance Challenge and their agents harmless for all suits, claims, or demands of every kind and character arising out of and in conjunction with this event. I also give consent without compensation, to In10se Dance Challenge and it's operators the right to video tape or photograph me, and use such for promotional and resale usage. Under 18 must have Parents or Guardian signature.