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Dance Revolution Registration 2021
Please fill out one form per dancer. Forms and Payment are due by Oct. 14th. The Dance Revolution conference will be held at the Omni Championsgate in Orlando. Hotel reservations can be made prior to Oct. 29th, based on availability. Dance Revolution Hotel Group rate is $149. Omni Orlando: 1-800-843-6664
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Student Name
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Your answer
Student DOB ___/___/___
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Your answer
Parent Name
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Your answer
Parent Phone Number
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Your answer
Payment Method
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Charge card on file on Oct. 14th (subject to a 3% CC processing fee)
Pay with different card before October 14th (subject to a 3% CC processing fee)
Pay by check at the desk before October 14th
Dancer Level
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Dance Rev Apprentice $220 (Age 6-9 or 0-3 yrs experience) Recommended for Ballet Level 1-2
Dance Rev Junior $230 (age 9-12 or 3 - 5 yrs experience) Recommended for Ballet Level 3-4 & Teen
Dance Rev Senior $230 (age 13+ or 5+ yrs experience) Recommended for Ballet Level 5/6
Dancer will be riding with: (i.e. family, friend (please specify)
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Your answer
Have you reserved a room?
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Yes, I have reserved a room at the Omni
Yes, I have reserved a room elsewhere.
No, I have not yet reserved accomodations
Parent/Sibling observer passes may be purchased at the conference directly through Dance Revolution for $40.
At this time, Dance Revolution has communicated to us via email that In-person observation will be allowed with NO virtual option this year.
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