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Membership Application

Membership Application alk_admin 2019-06-09T18:18:39+00:00

Commitment Formalk_admin2019-06-09T18:23:47+00:00

Season 2020-2021
School Information
*School Name:

Select school above to view school info here...

Coach Information
*Coach's First Name:
*Coach's Last Name:
Coach's Cell Phone:
Coach's Home Phone:
Coach's Home Address
Coach's Home City
Coach's Home State
Coach's Home Postal Code
School Email
Personal Email
Team Facebook
Team Twitter
Team Instagram
Additional Coach 1
Additional Coach 1 Email
Attending Fall Virtual Conference	Yes No

Additional Coach 2
Additional Coach 2 Email
Attending Fall Virtual Conference	Yes No

Additional Coach 3
Additional Coach 3 Email
Attending Fall Virtual Conference	Yes No

Competition Hosting
Please let us know if your school would be interested in hosting a competition
My school will HOST this year	Yes No
Primary host date selection
Secondary host date selection

Do you know any individual or school we should contact about membership in the IHSDTA?
Contact Name
School Name
Email Address(es)
Contact Phone

Team Information
Please complete a separate application per team from your school
Category
Selection of your choices is for internal forecasting only. Teams may change categories at their discretion.
Jazz Pom Kick Hip Hop

Team Nickname
Team Size
Team Mascot
Team Officers
Team Colors

Team Roster
Select all dance types (solo, ensemble, duo) that each dancer may participate in throughout the season. Selection of your choices is for internal forecasting only. You may change your dancer’s individual categories when completing your competition applications at a later date.
First Name	Last Name	Grade	Soloist	Ensemble	Duo	Attending Fall Conference?
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
						Yes No
Add Team Member


*Coaches are reminded that their attendance at the annual Fall Conference is mandatory if they wish to compete in the Regional or State Championship


Annual Membership Fee	$150.00
Annual Fall Conference Fee (1 coach per team)*	$50.00
Additional Coach ($25.00 each)*	x $25.00 = $
Number of Dancers ($10.00 each)*	x $10.00 = $
Total Amount Submitted (Team or School P.O./Check only)	$

By checking this box I acknowledge that I am electronically signing this application and am stating that all information is true and accurate to the best of my knowledge and agree to pay the amount shown above. Please verify that all of your information above is accurate before submitting this form - you will not be able to edit the information once submitted.

The IHSDTA is a non-profit director's organization exclusively serving Indiana's high school and junior high dance teams. Because we receive no funding from the state, it is essential for each school to share in the responsibility of our existence. Registration fees are used to cover the operational cost associated with providing a responsible arena for our young dancers to enjoy. All teams in good standings have an equal voice and vote in the direction of the IHSDTA. Furthermore, by signature above, the IHSDTA is granted the right to use photos and name of the aforementioned team for publication in promotional materials, including but not limited to the IHSDTA web site.