Chicken Dance Championship Registration
2015 Chicken Dance Championship Registration Form
Contact Information
First Name: Your name is required. Last Name: Your last name is required.
Address: A value is required.
City: City is required. State/Province: A value is required.
Postal/Zip Code: A value is required. Email: A value is required.Invalid format.
Home Phone: A value is required. Work Phone:
Dancer Information
Division Category: Age of Dancer:
Treaty Number /Enrollment Number:
Reserve or Status Number:
Tribal Affiliation:
Please take a few minutes to complete the questions below. This will provide the emcee with necessary information to present to the audience regarding you and your art form during the final rounds of competition.
Biographical Information Questionnaire
Schools Attended:
If college area of study:
Special interests:
Dance Outfit:
How long you have been dancing:
Titles Won:




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