Dad & Me Dance Registration Form | Sunshine Coast Takeout

REGISTER HERE

Thank you for your payment. Please fill in and submit this form to complete your registration for the Dad and Me Dance 2020.

Dad and Me Dance Registration Form

Use this form to complete the registration of yourself and your daughter(s). Your payment and this registration form submission will give you access to the virtual Dad and Daughter Dance 2020.

Dad (or Date)'s Name *

First

Last

This form will register you and your daughter(s) for the Dad And Me Dance 2020 which is being brought to you by the Rotary Club of the Sunshine Coast - Sechelt. Additionals Sponsors are helping make this all possible please see the webpage for all the information.

Mom's Name

First

Last

Moms, Grandmothers, Aunts or Friends of Dads. Please add this name here for an entry into the Raffle.

Daughter's First Name (1) *

All of this information is governed under the Canada Privacy Laws and will be safeguarded using the strictest security available.

Daughter's First Name (2)

Daughter's First Name (3)

Attendees

Please let us know how many additional family/friends will be attending from your location.

Email *

Could we add you to the Rotary Club of the Sunshine Coast - Sechelt email list *

Phone

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