DANCE MARATHON
First Name:
Last Name:
Gender: Male
Female
T-Shirt Size: S
M
L
XL
Address or Dorm:
Phone:
Email Address:
Major:
Year:
Have you danced at Dance Marathon? Which one?
Which organization (if any) are you dancing with?
I agree to dance for 12 hours and raise a minimum of $120 for Dance Marathon.
I agree to pay the $15 registration fee (which will be part of the $120 donation) at the Reynold's Club on between Wednesday 10am-3pm.

create form