2022 Encore Regional Title Entry Form

Event Attending*
Dancer's Name*
First Last
Title Entry Information*
Please enter information below. All fields are required. Title Entries are $40 per routine, each soloist can enter up to 3 routines for Title. Please use the "+" symbol to enter more than one routine for Title.
Routine Name Entry # Division Level
Dancer's age as of January 1, 2022*
Please enter a number from 2 to 19.
Dancer's Instagram Username
Consent
I give Encore permission to tag me on Social Media
Studio*
Registering for...*
Title Age Group*
Parent Email*
Enter Email Confirm Email
Date*
Consent*
Parent/Teacher/Director Signature*