University of South Dakota

SUMMER CAMP REGISTRATION FORM

TEAM NAME:_________________________

Name of Participant (Please Print)                                                           T-Shirt Size (S, M, L)

1.     ________________________________                       _______________

2.     ________________________________                       _______________

3.     ________________________________                       _______________

4.     ________________________________                       _______________

5.     ________________________________                       _______________

6.     ________________________________                       _______________

7.     ________________________________                       _______________

8.     ________________________________                       _______________

9.     ________________________________                       _______________

10.______________________________                             _______________

11. ________________________________                       _______________

12.________________________________                       _______________

13.________________________________                       _______________

14.________________________________                       _______________

15.________________________________                       _______________

16.________________________________                       _______________

Name of Coach (Please Print)

1. __________________________________

email:__________________________

phone #:________________________

2. __________________________________

email:____________________________

phone #:__________________________

(If you have more than 16 dancers and/ or coaches, please write names & shirt sizes on the back.)

Please send the registration form & full payment (checks payable to USD Dance Team) by Saturday, May 30^th to:

USD Dance Team

505 Regal Drive

Yankton, SD 57078