CHI-TOWN SQUARES

Crossfire 2024

Registration and PayPal Payment

First Name

Last Name

Address (Street number, name, and unit #)

City

State

Zip Code

Phone

(###)

###

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CLUB AFFILIATION AND DANCE LEVEL

Club Affiliation

Your Highest Dance Level

Are you interested in calling a tip?

Highest Dance Level You Can Call

EMERGENCY CONTACT INFORMATION

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

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HOUSING

Do You Need Housing?

Housing Dates

I am a Chi-Town Member who can provide housing.

Number of guests I can accomodate and special information.