CHI-TOWN SQUARES

Crossfire 2022

Registration and PayPal Payment

NOTE: All attendees (dancers/nondancers) must follow all COVID-19 mandates/recommendations in place at the time of Crossfire 2022. Proof of vaccination may be required.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

CLUB AFFILIATION AND DANCE LEVEL

Club Affiliation

Your Highest Dance Level

Interested in calling a tip?

Level(s) of calling

EMERGENCY CONTACT INFORMATION

Emergency Contact

Emergency Contact Phone Number

(###)

###

####

HOUSING

Need Housing?

Housing Dates

Housing Special Requests (pet allergies, non-smoking, etc.)

I am a Chi-Town Member who can provide housing

Number of guests you can accomodate and special instructions

Chi-Town Squares is Chicago's LGBTQ+ Modern Square Dance Club