Please Mail with your check to:
iDance4aCURE
20227 Catlett Place
Ashburn, VA 20147
Klick't Virtual iDance4aCURE Global Event
**Please note on check name of registrant you are supporting.
Name________________________________________________________
Address______________________________________________________
City, State and Zip_____________________________________________
Email________________________________________________________
Phone________________________________________________________
Are you Sponsoring a Dancer? If yes:
Dancers Name_________________________________________________
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