Company Host Location Registration Studio Name * Your Name * Your Phone Number * Your Email * Studio Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Studio Phone * Studio Email * Event Details Will event be held at Studio Address or a different location? * Studio Address Different Location Please select which day you would like to host your Dance-A-thon * Select a date October 1, 2021 October 2, 2021 October 3, 2021 October 4, 2021 October 5, 2021 October 6, 2021 October 7, 2021 October 8, 2021 October 9, 2021 October 10, 2021 October 11, 2021 October 12, 2021 October 13, 2021 October 14, 2021 October 15, 2021 October 16, 2021 October 17, 2021 October 18, 2021 October 19, 2021 October 20, 2021 October 21, 2021 October 22, 2021 October 23, 2021 October 24, 2021 October 25, 2021 October 26, 2021 October 27, 2021 October 28, 2021 October 29, 2021 October 30, 2021 October 31, 2021 Please input the 2-3 hour timeframe your Dance Party Fundraiser will be taking place: * Is event private or open to public? * Private Public Event Capacity Event Contact Name to have listed on Website * Event Contact Email to have listed on Website * Event Contact Phone to have listed on Website * Any comments or questions? You must view and agree to event terms before completing registration. View Terms * View Terms Sign on your touchscreen or using your mouse * Clear © 2021 Orange Ribbons For Jaime • Web Development by Landy Marketing