Junior Wave Dancer Clinic & Performance
2010 REGISTRATION FORM

Please fill out the below information to register for the Jr. Wave Dancer Clinics & Performances.
All fields in red are required.


Clinic and Performance Dates

Please check which clinic/performance date/s your child would like to be a part of.
Each clinic/performance combination costs $50. Each clinic will consist of different material.

Clinics Location:
Elite Fitness & Racquet Club
13825 W Burleigh Rd
Brookfield, WI 53005

Performance Location:
US Cellular Arena
400 W. Kilbourn Ave.
Milwaukee, WI 53203

Clinic: Saturday, March 6, 2010 - 1:00 – 3:00 p.m.
      Performance: Sunday, March 7, 2010 - 2:00 p.m. game

Optional - Please select the items you would like below.
 DVD of performance (delivered to home, up to 6 weeks delivery after performance)
CD with performance music (pick up at clinic)

T-Shirt Size
Please check the size you would like for your child’s t-shirt:
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (12-14)
Adult Small


Parent's Information
Parent's Name:
Parent's Address:

Contact Phone Number:
Email Address:

How did you hear about the Junior Wave Dancers?


Thank you. Please submit this registration by clicking the "Register Now" button below. Remember to bring your completed wiaver form & total payment to the clinic in order for your child to be allowed to participate.

* Please make checks payable to: Wisconsin Professional Dance
** Credit cards are not accepted.