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2023-2024 Showcase REGISTRATION

Please read and fill out the form below.

General Information:

Live or Virtual?

LIVE

VIRTUAL

Event Name

Program/Gym Name

Coach's Email

Coach's First Name

Coach's Cell Phone

Coach's Last Name

Coach's Address

Team(s) Information:

Team 1 Name

Team 1 Level /Style

Team 1 Division

Team 1 # of athletes stepping on mat

Add Team 2

Add Team 3

Add Team 4

Add Team 5

Add Team 6

Add Team 7

Add Team 8

Add Team 10

Add Team 9

Team 2 Name

Team 2 Level /Style

Team 3 Name

Team 3 Level /Style

Team 4 Name

Team 4 Level /Style

Team 5 Name

Team 5 Level /Style

Team 6 Name

Team 6 Level /Style

Team 7 Name

Team 7 Level /Style

Team 8 Name

Team 8 Level /Style

Team 9 Name

Team 9 Level /Style

Team 10 Name

Team 10 Level /Style

Total Number of Athletes Attending

Team 2 Division

Team 2 # of athletes stepping on mat

Team 3 Division

Team 3 # of athletes stepping on mat

Team 4 Division

Team 4 # of athletes stepping on mat

Team 5 Division

Team 5 # of athletes stepping on mat

Team 6 Division

Team 6 # of athletes stepping on mat

Team 7 Division

Team 7 # of athletes stepping on mat

Team 8 Division

Team 8 # of athletes stepping on mat

Team 9 Division

Team 9 # of athletes stepping on mat

Team 10 Division

Team 10 # of athletes stepping on mat

Total Crossovers

Individual(s) Information:

Individual 1 Athlete names

Individual 1 Category

Individual 1 Age

Individual 1 # of athletes

Add Individual 2

Add Individual 4

Add Individual 3

Add Individual 5

Individual 2 Athlete Name

Individual 2 Category

Individual 2 Age

Individual 2 # of athletes

Individual 3 Athlete Name

Individual 3 Category

Individual 3 Age

Individual 3 # of athletes

Individual 4 Athlete Name

Individual 4 Category

Individual 4 Age

Individual 4 # of athletes

Individual 5 Athlete Name

Individual 5 Category

Individual 5 Age

Individual 5 # of athletes

Are you a member of...

Promo Code

contact

LOCATION

PO Box 50 | Bethalto, IL 62010

PHONE

Kim 618-530-7948

Kristi 629-333-6398

EMAIL

kim@midwestcheeranddance.com

kristi@midwestcheeranddance.com

DUNS

051300461

CAGE CODE

8P0X3

Quick Registration

Forms & Waivers

MCDA Medical Release Form

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