Use the Note/Info field to add diet concerns or any additional information needed for your registration.
If you have questions, contact: Stella Wong at firstname.lastname@example.org / 650-255-5522, or
Carl Chesbrough at email@example.com.
Waiver: By pressing the “Pay Online” or “Mail Check”, I/we understand and agree that the National Smooth Dancers Inc. (including all chapters) will not be held
responsible for loss or theft of articles, nor be held liable for injuries sustained by persons dancing and/or competing
at any chapter or National Smooth Dancers events. I/we hereby irrevocably give and grant to the National Smooth Dancers
Inc. (including all chapters) the right to produce, use, refer to or reproduce any still photographs taken and video/audio
recordings made at any and all chapter or National Smooth Dancers events.