Ballroom SeriesContact InformationFirst Name *Last Name *Email Address *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Ballroom SeriesDancer InformationFirst Name *Last Name *Date of Birth *Age *Allergies or Other Medical ConcernsAdd a PartnerYesFirst Name *Last Name *Date of Birth *Age *Allergies or Other Medical ConcernsBallroom SeriesEmergency ContactFirst Name *Last Name *Phone *Relationship *COVID-19 and General Liability *By clicking "Submit," I have read and agree to EDE's COVID-19 and General Liability waivers.Submit