If you need help understanding this form, click here. Contact Information:
First Name or Initial Middle Name or Initial Last Name Suffix (Jr., III, etc.)
Child (under 18)? Yes No Student? Yes No Gender: Male Female
If registrant is a child please enter parent's name.
Parent's Name Mailing Address Address (cont.) City State Armed Forces Americas (except Canada) Alberta Armed Forces Europe (plus Africa, Canada and Middle East) Alaska Alabama Armed Forces Pacific Arkansas American Samoa Arizona British Columbia California Colorado Connecticut District of Columbia Delaware Florida Federated States of Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Manitoba Maryland Maine Marshall Islands Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana New Brunswick North Carolina North Dakota Nebraska New Hampshire New Jersey Newfoundland and Labrador New Mexico Nova Scotia Northwest Territories Nunavut Nevada New York Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Palau Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Yukon Territory Zip Cell Phone Home Phone Work Phone Extension Home email Mailings to this email Work email Mailings to this email
Role: (select one of the following roles)
Dancer Bateria Parade Monitor Other Role:
Shirt Selection: (Please specify the shirt size and type)
Not Selected Child's Women's Small Men's Small Women's Medium Men's Medium Women's Large Men's Large Women's Extra Large Men's Extra Large Men's XXL
Comments or special instructions:
