SOURCEDANCE
HOLLYWOOD TOUR 2023
On-Line Registration & Payment
Dancer Registration

Hollywood Tour 2023
"12 Day Package"
2 Share Per Room Accommodation

Non Refundable Deposit of $1,615.00 ($USA)
on July 2023 Hollywood Tour - 12 Day
Remaining balance due after deposit = $2,000.00
Balance is due on or before June 30, 2023

Dancer's Name (First, M.I., Last) :
Dancer's Age :
Dancer's email address :
Name of Registered Chaperone accompanying Dancer (required if under 18 yrs of age):
Full Name of Person Submitting
Registration & Responsible for Payment:
Relationship of person submitting
Regtistration to Dancer Being Registered: